Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.41 / $10.52 / $19.07	Facility	26	$9.41	$10.52	$19.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $40.78 / $88.54	Professional		$34.17	$40.78	$88.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.97 / $23.12	Professional	26	$9.41	$10.97	$23.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $28.03 / $49.57	Professional	TC	$24.41	$28.03	$49.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $38.22 / $51.62	Professional		$28.39	$38.22	$51.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $8.71 / $13.00	Professional	26	$7.99	$8.71	$13.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $24.41 / $24.41	Professional	TC	$24.41	$24.41	$24.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $36.99 / $59.20	Professional		$31.44	$36.99	$59.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.88 / $19.05	Professional	26	$9.86	$11.88	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $25.37 / $41.45	Professional	TC	$21.56	$25.37	$41.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.07 / $48.17	Professional		$11.48	$28.07	$48.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $49.49 / $80.03	Professional		$34.81	$49.49	$80.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $15.24 / $24.16	Professional	26	$10.30	$15.24	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.29 / $35.19 / $55.87	Professional	TC	$25.29	$35.19	$55.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $32.34 / $32.34	Professional		$20.78	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $38.93 / $58.47	Professional		$32.70	$38.93	$58.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $12.22 / $18.67	Professional	26	$9.52	$12.22	$18.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.46 / $28.03 / $39.43	Professional	TC	$22.46	$28.03	$39.43