Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.73 / $13.09 / $23.78	Facility	26	$11.73	$13.09	$23.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.03 / $36.29 / $158.74	Facility	TC	$25.03	$36.29	$158.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $46.23 / $75.06	Professional		$38.28	$46.23	$75.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $15.33 / $36.09	Professional	26	$12.52	$15.33	$36.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $28.87 / $54.21	Professional	TC	$25.93	$28.87	$54.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $43.51 / $43.51	Professional		$43.51	$43.51	$43.51
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.11 / $17.46	Professional	26	$9.98	$10.11	$17.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $47.36 / $75.78	Professional		$40.26	$47.36	$75.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.19 / $18.41 / $29.93	Professional	26	$15.19	$18.41	$29.93
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.61 / $29.04 / $49.70	Professional	TC	$24.61	$29.04	$49.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $19.20 / $57.23	Professional		$12.47	$19.20	$57.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.07 / $62.73 / $98.50	Professional		$41.07	$62.73	$98.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $22.44 / $35.24	Professional	26	$15.51	$22.44	$35.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $41.21 / $66.90	Professional	TC	$28.91	$41.21	$66.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $32.34 / $40.57	Professional		$25.23	$32.34	$40.57
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $48.38 / $67.13	Professional		$39.86	$48.38	$67.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.64 / $23.40	Professional	26	$13.80	$16.64	$23.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $31.39 / $51.11	Professional	TC	$24.86	$31.39	$51.11