Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.96 / $16.60	Facility	26	$10.00	$10.96	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $144.54	Professional		$31.62	$44.67	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $32.36	Professional	26	$8.51	$14.13	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $56.23	Professional	TC	$21.88	$28.84	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $51.29	Professional		$18.20	$36.31	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $19.95	Professional	26	$8.13	$11.22	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $53.70	Professional	TC	$22.39	$30.20	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $60.26	Professional		$31.62	$33.88	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.23 / $18.20	Professional	26	$10.00	$10.23	$18.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $22.39 / $41.69	Professional	TC	$21.88	$22.39	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $27.54 / $45.71	Professional		$10.96	$27.54	$45.71
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 $33.88 / $53.70 / $181.97	Professional		$33.88	$53.70	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.60 / $50.12	Professional	26	$9.33	$16.60	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $40.74 / $134.90	Professional	TC	$23.44	$40.74	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $33.11	Professional		$16.98	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $54.95	Professional		$30.20	$35.48	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.47 / $17.38	Professional	26	$8.71	$10.47	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.12 / $38.90	Professional	TC	$20.89	$25.12	$38.90