Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.43 / $15.60 / $23.18	Facility	26	$11.43	$15.60	$23.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.43 / $26.03 / $148.62	Facility	TC	$23.43	$26.03	$148.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $39.39 / $70.51	Professional		$35.24	$39.39	$70.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $12.70 / $20.18	Professional	26	$11.98	$12.70	$20.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $26.03 / $35.36	Professional	TC	$22.85	$26.03	$35.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $9.85 / $11.44	Professional	26	$9.85	$9.85	$11.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $35.72 / $48.95	Professional		$35.72	$35.72	$48.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.52 / $13.56 / $17.04	Professional	26	$11.52	$13.56	$17.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.15 / $22.15 / $32.79	Professional	TC	$22.15	$22.15	$32.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $19.70 / $51.58	Professional		$13.17	$19.70	$51.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $51.08 / $81.93	Professional		$35.99	$51.08	$81.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $19.10 / $31.60	Professional	26	$13.07	$19.10	$31.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.20 / $33.58 / $50.33	Professional	TC	$24.20	$33.58	$50.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.99 / $32.34 / $32.34	Professional		$18.99	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $41.86 / $58.60	Professional		$34.90	$41.86	$58.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.52 / $15.36 / $21.74	Professional	26	$12.52	$15.36	$21.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $27.79 / $40.67	Professional	TC	$22.22	$27.79	$40.67