Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $15.14 / $19.50	Facility	26	$10.00	$15.14	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $114.82	Professional		$33.11	$45.71	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.30 / $29.51	Professional	26	$8.91	$12.30	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $61.66	Professional	TC	$22.91	$33.11	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $97.72	Professional		$29.51	$51.29	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.22 / $17.38	Professional	26	$10.00	$11.22	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $30.20 / $72.44	Professional	TC	$23.99	$30.20	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $43.65 / $79.43	Professional		$42.66	$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 $31.62 / $32.36 / $60.26	Professional	TC	$31.62	$32.36	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $28.84 / $47.86	Professional		$10.96	$28.84	$47.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $199.53	Professional		$36.31	$69.18	$199.53
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 $27.54 / $53.70 / $141.25	Professional	TC	$27.54	$53.70	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $33.11	Professional		$23.99	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $66.07	Professional		$34.67	$44.67	$66.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.75 / $18.62	Professional	26	$9.77	$11.75	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $32.36 / $47.86	Professional	TC	$24.55	$32.36	$47.86