Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $11.48 / $20.89	Facility	26	$10.96	$11.48	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $87.10	Professional		$35.48	$46.77	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $26.92	Professional	26	$8.91	$12.59	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $58.88	Professional	TC	$25.12	$33.88	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $41.69	Professional		$29.51	$32.36	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.22 / $12.02	Professional	26	$10.96	$11.22	$12.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $25.70 / $38.02	Professional	TC	$25.70	$25.70	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $79.43	Professional		$41.69	$43.65	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.75 / $20.89	Professional	26	$11.22	$11.75	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $31.62 / $58.88	Professional	TC	$30.90	$31.62	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $17.38	Professional		$10.96	$14.79	$17.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $208.93	Professional		$39.81	$66.07	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $18.62 / $54.95	Professional	26	$10.72	$18.62	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $53.70 / $154.88	Professional	TC	$28.84	$53.70	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $33.11	Professional		$24.55	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $66.07	Professional		$36.31	$44.67	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $19.05	Professional	26	$10.00	$12.02	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $48.98	Professional	TC	$25.70	$33.11	$48.98