Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $14.79 / $26.30	Facility	26	$13.80	$14.79	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $218.78	Professional		$51.29	$79.43	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.05 / $61.66	Professional	26	$12.02	$19.05	$61.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $50.12 / $93.33	Professional	TC	$37.15	$50.12	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $114.82	Professional		$38.90	$48.98	$114.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $23.44	Professional	26	$10.72	$14.13	$23.44
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $42.66 / $48.98	Professional	TC	$35.48	$42.66	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $109.65	Professional		$58.88	$63.10	$109.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $19.95 / $34.67	Professional	26	$18.62	$19.95	$34.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $40.74 / $75.86	Professional	TC	$38.90	$40.74	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $72.44	Professional		$14.79	$44.67	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.55 / $16.60 / $23.44	Facility	26	$3.55	$16.60	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $288.40	Professional		$54.95	$97.72	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $28.18 / $87.10	Professional	26	$14.45	$28.18	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $72.44 / $223.87	Professional	TC	$41.69	$72.44	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $33.11	Professional		$30.90	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $95.50	Professional		$51.29	$63.10	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $18.20 / $26.92	Professional	26	$14.13	$18.20	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $66.07	Professional	TC	$35.48	$44.67	$66.07