Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.62 / $13.34 / $14.93	Facility	26	$7.62	$13.34	$14.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $30.33 / $68.86	Professional		$25.85	$30.33	$68.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $8.42 / $17.98	Professional	26	$7.45	$8.42	$17.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.24 / $59.24 / $59.24	Professional	50	$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.18 / $33.54	Professional	TC	$18.53	$22.18	$33.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $23.76 / $23.76	Professional		$23.76	$23.76	$23.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $9.86 / $15.12	Professional	26	$6.58	$9.86	$15.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.84 / $43.46	Professional		$21.96	$25.84	$43.46
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $9.26 / $14.28	Professional	26	$7.87	$9.26	$14.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.94 / $38.76 / $65.19	Professional	50	$32.94	$38.76	$65.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.09 / $16.57 / $29.07	Professional	TC	$14.09	$16.57	$29.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $23.83 / $40.35	Professional		$8.94	$23.83	$40.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $37.34 / $63.41	Professional		$25.39	$37.34	$63.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $11.95 / $19.01	Professional	26	$8.05	$11.95	$19.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.25 / $26.09 / $44.57	Professional	TC	$18.25	$26.09	$44.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $32.34 / $32.34	Professional		$11.91	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $30.21 / $47.10	Professional		$23.20	$30.21	$47.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.08 / $12.99	Professional	26	$7.56	$9.08	$12.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.38 / $21.71 / $33.85	Professional	TC	$15.38	$21.71	$33.85