Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $14.13 / $20.42	Facility	26	$8.91	$14.13	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $117.49	Professional		$28.18	$38.90	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $25.70	Professional	26	$7.94	$10.96	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $45.71	Professional	TC	$19.05	$25.70	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $58.88	Professional		$21.88	$27.54	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $22.39	Professional	26	$7.76	$11.22	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.99 / $52.48	Professional	TC	$17.38	$23.99	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.67 / $64.57	Professional		$33.88	$34.67	$64.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.75 / $20.42	Professional	26	$11.22	$11.75	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.91 / $43.65	Professional	TC	$22.39	$22.91	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $22.91 / $40.74	Professional		$10.23	$22.91	$40.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $11.48 / $16.22	Facility	26	$2.45	$11.48	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $162.18	Professional		$31.62	$53.70	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $18.20 / $53.70	Professional	26	$10.23	$18.20	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $40.74 / $114.82	Professional	TC	$21.88	$40.74	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $53.70	Professional		$30.20	$36.31	$53.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $17.78	Professional	26	$9.55	$11.75	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $24.55 / $35.48	Professional	TC	$19.95	$24.55	$35.48