Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $14.79 / $22.91	Facility	26	$12.02	$14.79	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $154.88	Professional		$44.67	$79.43	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $50.12	Professional	26	$10.96	$19.05	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $43.65 / $79.43	Professional	TC	$30.90	$43.65	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $81.28	Professional		$33.11	$43.65	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $23.99	Professional	26	$9.55	$13.18	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $72.44	Professional	TC	$25.70	$37.15	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $93.33	Professional		$47.86	$53.70	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $16.22 / $29.51	Professional	26	$15.85	$16.22	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $33.11 / $61.66	Professional	TC	$32.36	$33.11	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $37.15 / $61.66	Professional		$12.88	$37.15	$61.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $245.47	Professional		$43.65	$74.13	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $24.55 / $75.86	Professional	26	$12.30	$24.55	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $60.26 / $181.97	Professional	TC	$33.11	$60.26	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $38.02	Professional		$24.55	$32.36	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $79.43	Professional		$42.66	$52.48	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.85 / $23.44	Professional	26	$12.30	$15.85	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $35.48 / $54.95	Professional	TC	$29.51	$35.48	$54.95