Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $12.02 / $16.22	Facility	26	$8.32	$12.02	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $81.28	Professional		$19.05	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $30.20	Professional	26	$7.08	$12.02	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $18.20 / $35.48	Professional	TC	$12.02	$18.20	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $30.90	Professional		$16.98	$19.50	$30.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $8.91 / $16.98	Professional	26	$6.76	$8.91	$16.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$46.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $12.02 / $26.92	Professional	TC	$9.77	$12.02	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $50.12	Professional		$26.92	$27.54	$50.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.33 / $16.60	Professional	26	$9.12	$9.33	$16.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $41.69 / $74.13	Professional	50	$39.81	$41.69	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $18.20 / $33.88	Professional	TC	$17.38	$18.20	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $28.18	Professional		$8.91	$14.45	$28.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $9.77 / $14.13	Facility	26	$2.14	$9.77	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $125.89	Professional		$24.55	$44.67	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.79 / $41.69	Professional	26	$8.32	$14.79	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $30.90 / $72.44	Professional	TC	$16.22	$30.90	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $32.36 / $33.11	Professional		$14.13	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $42.66	Professional		$23.99	$29.51	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $14.45	Professional	26	$7.94	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.95 / $29.51	Professional	TC	$15.85	$19.95	$29.51