Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $14.98 / $27.41	Facility	26	$13.49	$14.98	$27.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $53.00 / $119.59	Professional		$45.44	$53.00	$119.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $14.98 / $33.83	Professional	26	$13.58	$14.98	$33.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.56 / $38.60 / $69.54	Professional	TC	$31.56	$38.60	$69.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $58.46 / $58.46	Professional		$40.13	$58.46	$58.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $11.64 / $26.78	Professional	26	$11.39	$11.64	$26.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $48.89 / $79.59	Professional		$40.40	$48.89	$79.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $16.84 / $27.30	Professional	26	$14.31	$16.84	$27.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $32.04 / $50.46	Professional	TC	$26.45	$32.04	$50.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $22.96 / $67.33	Professional		$15.86	$22.96	$67.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $68.17 / $102.73	Professional		$47.04	$68.17	$102.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $23.27 / $34.68	Professional	26	$14.79	$23.27	$34.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.68 / $47.25 / $72.02	Professional	TC	$32.68	$47.25	$72.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $32.34 / $39.68	Professional		$25.23	$32.34	$39.68
United Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $51.48 / $73.06	Professional		$43.14	$51.48	$73.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $17.39 / $24.90	Professional	26	$13.78	$17.39	$24.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.36 / $35.10 / $48.11	Professional	TC	$29.36	$35.10	$48.11