Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $16.60 / $25.12	Facility	26	$15.85	$16.60	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $158.49	Professional		$61.66	$75.86	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $19.50 / $36.31	Professional	26	$14.13	$19.50	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $57.54 / $112.20	Professional	TC	$44.67	$57.54	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $85.11	Professional		$48.98	$54.95	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $18.62 / $40.74	Professional	26	$17.38	$18.62	$40.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $61.66 / $69.18	Professional	TC	$46.77	$61.66	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $89.13	Professional		$60.26	$63.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $17.78 / $22.91	Professional	26	$16.98	$17.78	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $44.67 / $66.07	Professional	TC	$43.65	$44.67	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $25.12	Professional		$15.85	$21.38	$25.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.17 / $19.50 / $27.54	Facility	26	$4.17	$19.50	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $371.54	Professional		$66.07	$95.50	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.18 / $79.43	Professional	26	$17.38	$28.18	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $83.18 / $295.12	Professional	TC	$47.86	$83.18	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.02	Professional		$32.36	$33.11	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $114.82	Professional		$61.66	$72.44	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.05 / $28.84	Professional	26	$16.22	$19.05	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $53.70 / $85.11	Professional	TC	$44.67	$53.70	$85.11