Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $16.60 / $23.44	Facility	26	$12.30	$16.60	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $208.93	Professional		$44.67	$75.86	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $45.71	Professional	26	$12.02	$19.05	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $81.28	Professional	TC	$30.90	$43.65	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $100.00	Professional		$33.11	$43.65	$100.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $25.70	Professional	26	$10.00	$14.13	$25.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $38.90 / $75.86	Professional	TC	$29.51	$38.90	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $93.33	Professional		$46.77	$52.48	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $16.22 / $29.51	Professional	26	$15.85	$16.22	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $32.36 / $61.66	Professional	TC	$30.90	$32.36	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $38.90 / $63.10	Professional		$13.49	$38.90	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $251.19	Professional		$43.65	$72.44	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $24.55 / $75.86	Professional	26	$13.18	$24.55	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $58.88 / $190.55	Professional	TC	$33.11	$58.88	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $33.11	Professional		$23.99	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $77.62	Professional		$42.66	$51.29	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $24.55	Professional	26	$12.59	$15.85	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $35.48 / $52.48	Professional	TC	$29.51	$35.48	$52.48