Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.86 / $12.13 / $22.01	Facility	26	$10.86	$12.13	$22.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $43.91 / $106.02	Professional		$38.77	$43.91	$106.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $12.06 / $25.08	Professional	26	$11.21	$12.06	$25.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $31.88 / $59.42	Professional	TC	$27.69	$31.88	$59.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $31.82 / $31.82	Professional		$31.82	$31.82	$31.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $12.16 / $12.78	Professional	26	$9.23	$12.16	$12.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $41.19 / $68.38	Professional		$34.79	$41.19	$68.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $13.81 / $21.80	Professional	26	$11.74	$13.81	$21.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $27.38 / $44.77	Professional	TC	$22.67	$27.38	$44.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.46 / $58.46	Professional		$13.27	$18.46	$58.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $55.61 / $89.63	Professional		$40.65	$55.61	$89.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.14 / $18.44 / $28.23	Professional	26	$12.14	$18.44	$28.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.57 / $40.10 / $64.73	Professional	TC	$28.57	$40.10	$64.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $32.34 / $33.97	Professional		$22.18	$32.34	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $45.61 / $69.84	Professional		$36.32	$45.61	$69.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.38 / $13.81 / $20.57	Professional	26	$11.38	$13.81	$20.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $31.27 / $47.67	Professional	TC	$25.29	$31.27	$47.67