Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.43 / $13.33 / $22.61	Facility	26	$11.43	$13.33	$22.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $60.38 / $195.00	Professional		$47.71	$60.38	$195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $16.68 / $33.76	Professional	26	$12.20	$16.68	$33.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $38.60 / $76.16	Professional	TC	$32.79	$38.60	$76.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $51.99 / $70.58	Professional		$36.71	$51.99	$70.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $9.85 / $16.43	Professional	26	$9.72	$9.85	$16.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.90 / $34.90 / $41.53	Professional	TC	$34.90	$34.90	$41.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $50.10 / $86.68	Professional		$40.06	$50.10	$86.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $16.38 / $26.59	Professional	26	$13.92	$16.38	$26.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $32.04 / $58.30	Professional	TC	$26.45	$32.04	$58.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $40.14 / $65.87	Professional		$13.94	$40.14	$65.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $69.01 / $103.50	Professional		$45.43	$69.01	$103.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $21.82 / $31.74	Professional	26	$14.18	$21.82	$31.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.09 / $48.14 / $77.29	Professional	TC	$34.09	$48.14	$77.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $32.34 / $39.09	Professional		$25.23	$32.34	$39.09
United Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $54.99 / $70.81	Professional		$43.50	$54.99	$70.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.69 / $15.82 / $26.40	Professional	26	$12.69	$15.82	$26.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.74 / $37.18 / $52.36	Professional	TC	$29.74	$37.18	$52.36