Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $10.19 / $18.46	Facility	26	$9.11	$10.19	$18.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $38.92 / $95.66	Professional		$32.13	$38.92	$95.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $11.23 / $21.18	Professional	26	$9.68	$11.23	$21.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.08 / $27.69 / $47.26	Professional	TC	$23.08	$27.69	$47.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $42.01 / $49.43	Professional		$24.59	$42.01	$49.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.68 / $12.10	Professional	26	$7.85	$9.68	$12.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $23.27 / $28.93	Professional	TC	$23.27	$23.27	$28.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $38.85 / $63.00	Professional		$33.02	$38.85	$63.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $13.58 / $21.10	Professional	26	$11.20	$13.58	$21.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.48 / $25.28 / $43.90	Professional	TC	$21.48	$25.28	$43.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $26.76 / $46.13	Professional		$11.11	$26.76	$46.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $52.66 / $82.91	Professional		$34.10	$52.66	$82.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $17.67 / $28.00	Professional	26	$11.26	$17.67	$28.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $35.86 / $58.98	Professional	TC	$25.23	$35.86	$58.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $32.34 / $33.66	Professional		$22.18	$32.34	$33.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $39.81 / $55.29	Professional		$34.40	$39.81	$55.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.71 / $18.55	Professional	26	$10.27	$12.71	$18.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $26.84 / $38.43	Professional	TC	$21.70	$26.84	$38.43