Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.44 / $9.30 / $13.10	Facility	26	$6.44	$9.30	$13.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $11.45 / $19.16 / $72.72	Facility	TC	$11.45	$19.16	$72.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.58 / $37.03	Professional		$19.05	$23.58	$37.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $7.16 / $15.94	Professional	26	$6.44	$7.16	$15.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $14.78 / $24.66	Professional	TC	$11.97	$14.78	$24.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $6.80 / $8.40	Professional	26	$5.40	$6.80	$8.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $23.68 / $38.10	Professional		$20.12	$23.68	$38.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $8.33 / $12.88	Professional	26	$7.01	$8.33	$12.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $30.19 / $35.52 / $57.15	Professional	50	$30.19	$35.52	$57.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.70 / $15.35 / $26.50	Professional	TC	$12.70	$15.35	$26.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $14.58 / $26.68	Professional		$7.82	$14.58	$26.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $31.57 / $47.23	Professional		$19.61	$31.57	$47.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.19 / $11.30 / $16.87	Professional	26	$7.19	$11.30	$16.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.25 / $21.35 / $34.00	Professional	TC	$14.25	$21.35	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $32.34 / $32.34	Professional		$13.31	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $23.67 / $33.25	Professional		$18.82	$23.67	$33.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.59 / $8.24 / $11.91	Professional	26	$6.59	$8.24	$11.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.66 / $15.35 / $22.14	Professional	TC	$11.66	$15.35	$22.14