Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.01 / $9.32 / $14.25	Facility	26	$7.01	$9.32	$14.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $33.74 / $112.18	Professional		$24.30	$33.74	$112.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.56 / $38.00	Professional	26	$7.03	$8.56	$38.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.52 / $86.52 / $86.52	Professional	50	$86.52	$86.52	$86.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $22.48 / $42.63	Professional	TC	$18.84	$22.48	$42.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $24.44 / $36.29	Professional		$21.32	$24.44	$36.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $8.90 / $9.33	Professional	26	$5.97	$8.90	$9.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.00 / $26.09 / $26.09	Professional	TC	$21.00	$26.09	$26.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.62 / $45.44	Professional		$23.03	$27.62	$45.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $8.65 / $13.58	Professional	26	$7.30	$8.65	$13.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.54 / $41.14 / $68.16	Professional	50	$34.54	$41.14	$68.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.04 / $17.87 / $30.59	Professional	TC	$15.04	$17.87	$30.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $24.15 / $39.84	Professional		$8.24	$24.15	$39.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.38 / $62.66	Professional		$25.12	$39.38	$62.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.87 / $18.89	Professional	26	$7.58	$11.87	$18.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.79 / $28.05 / $45.29	Professional	TC	$18.79	$28.05	$45.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $32.34 / $32.34	Professional		$14.70	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $31.10 / $47.64	Professional		$24.43	$31.10	$47.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $9.10 / $12.75	Professional	26	$7.19	$9.10	$12.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $22.39 / $33.08	Professional	TC	$17.18	$22.39	$33.08