Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.88 / $22.91	Facility	26	$12.30	$12.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $147.91	Professional		$23.99	$47.86	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $43.65	Professional	26	$10.96	$16.98	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.90 / $58.88	Professional	TC	$22.91	$30.90	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $57.54	Professional		$25.70	$34.67	$57.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.49 / $23.99	Professional	26	$9.55	$13.49	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.18 / $53.70	Professional	TC	$22.91	$28.18	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $70.79	Professional		$37.15	$40.74	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.79 / $25.70	Professional	26	$14.13	$14.79	$25.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $23.44 / $43.65	Professional	TC	$22.91	$23.44	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $48.98	Professional		$13.18	$28.84	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $194.98	Professional		$36.31	$64.57	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $22.39 / $60.26	Professional	26	$12.59	$22.39	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $43.65 / $138.04	Professional	TC	$23.99	$43.65	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $61.66	Professional		$33.88	$40.74	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.45 / $21.88	Professional	26	$11.75	$14.45	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.30 / $39.81	Professional	TC	$21.88	$26.30	$39.81