Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $127.88 / $617.77	Facility		$33.29	$127.88	$617.77
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $13.62 / $18.46	Facility	26	$9.36	$13.62	$18.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $34.67 / $125.96	Professional		$29.19	$34.67	$125.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.41 / $23.92	Professional	26	$9.41	$10.41	$23.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $24.00 / $44.93	Professional	TC	$21.03	$24.00	$44.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $26.46 / $48.15	Professional		$23.95	$26.46	$48.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.96 / $12.45	Professional	26	$7.97	$9.96	$12.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $18.82 / $18.82	Professional	TC	$18.82	$18.82	$18.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $31.65 / $54.45	Professional		$26.90	$31.65	$54.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $11.62 / $19.05	Professional	26	$9.88	$11.62	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $20.03 / $34.56	Professional	TC	$17.43	$20.03	$34.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $29.89 / $46.55	Facility		$11.01	$29.89	$46.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $25.46 / $44.94	Professional		$11.45	$25.46	$44.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $163.03	Facility		$41.01	$41.01	$163.03
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 $31.44 / $46.43 / $70.56	Professional		$31.44	$46.43	$70.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.87 / $24.16	Professional	26	$10.23	$15.87	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.75 / $30.13 / $47.45	Professional	TC	$20.75	$30.13	$47.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $32.34 / $32.34	Professional		$16.07	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $36.09 / $50.53	Professional		$28.87	$36.09	$50.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $11.59 / $17.32	Professional	26	$9.59	$11.59	$17.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $23.87 / $34.36	Professional	TC	$19.29	$23.87	$34.36