Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.72 / $19.72 / $25.35	Facility	26	$19.72	$19.72	$25.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $70.02 / $106.54	Professional		$67.02	$70.02	$106.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $19.72 / $31.05	Professional	26	$17.82	$19.72	$31.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.92 / $50.75 / $80.01	Professional	TC	$47.92	$50.75	$80.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $23.95 / $26.44	Professional	26	$22.99	$23.95	$26.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $76.45 / $84.30	Professional		$64.98	$76.45	$84.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $20.95 / $22.84	Professional	26	$18.85	$20.95	$22.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.07 / $55.50 / $61.45	Professional	TC	$49.07	$55.50	$61.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $53.84 / $93.03	Professional		$22.03	$53.84	$93.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.32 / $23.32 / $23.32	Facility	26	$23.32	$23.32	$23.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $67.55 / $353.93	Professional		$66.88	$67.55	$353.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $96.64	Professional	26	$18.45	$18.45	$96.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.38 / $49.10 / $257.24	Professional	TC	$47.38	$49.10	$257.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.58	Professional		$32.34	$32.34	$72.58
United Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $96.14 / $134.88	Professional		$65.48	$96.14	$134.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $20.93 / $39.61	Professional	26	$17.77	$20.93	$39.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.82 / $68.18 / $108.12	Professional	TC	$46.82	$68.18	$108.12