Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.89 / $8.76 / $12.81	Facility	26	$7.89	$8.76	$12.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $34.52 / $62.23	Professional		$25.72	$34.52	$62.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $10.15 / $23.18	Professional	26	$8.38	$10.15	$23.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.80 / $13.40 / $19.59	Professional	52	$11.80	$13.40	$19.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $25.05 / $41.07	Professional	TC	$17.34	$25.05	$41.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $31.78 / $31.78	Professional		$19.00	$31.78	$31.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $13.62 / $13.62	Professional	26	$13.62	$13.62	$13.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $34.74 / $58.25	Professional		$29.53	$34.74	$58.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $11.17 / $17.64	Professional	26	$9.46	$11.17	$17.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.04 / $23.37 / $39.65	Professional	TC	$20.04	$23.37	$39.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.42 / $35.59	Professional		$9.63	$13.42	$35.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $45.51 / $73.34	Professional		$28.95	$45.51	$73.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $14.67 / $21.12	Professional	26	$9.42	$14.67	$21.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.94 / $32.07 / $50.85	Professional	TC	$20.94	$32.07	$50.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $32.34 / $32.34	Professional		$18.86	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $34.94 / $56.40	Professional		$28.29	$34.94	$56.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $10.79 / $14.94	Professional	26	$8.77	$10.79	$14.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.16 / $24.23 / $34.02	Professional	TC	$19.16	$24.23	$34.02