Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.58 / $10.62 / $15.42	Facility	26	$7.58	$10.62	$15.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $30.60 / $69.19	Professional		$21.25	$30.60	$69.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $8.55 / $19.69	Professional	26	$7.95	$8.55	$19.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.19 / $19.46 / $35.46	Professional	TC	$13.19	$19.46	$35.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $15.79 / $18.05	Professional		$15.79	$15.79	$18.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $10.08 / $11.28	Professional	26	$6.45	$10.08	$11.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $27.55 / $47.71	Professional		$23.42	$27.55	$47.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $9.42 / $14.91	Professional	26	$8.01	$9.42	$14.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $41.32 / $71.56	Professional	50	$35.13	$41.32	$71.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.96 / $18.12 / $30.74	Professional	TC	$14.96	$18.12	$30.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.12 / $29.57	Professional		$8.91	$16.12	$29.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $38.68 / $59.12	Professional		$25.06	$38.68	$59.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.84 / $19.26	Professional	26	$8.32	$12.84	$19.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.19 / $25.86 / $41.29	Professional	TC	$17.19	$25.86	$41.29
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 $24.23 / $29.18 / $42.23	Professional		$24.23	$29.18	$42.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.79 / $9.53 / $14.07	Professional	26	$7.79	$9.53	$14.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.29 / $19.66 / $28.16	Professional	TC	$16.29	$19.66	$28.16