Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.71 / $8.91	Facility	26	$7.08	$8.71	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $64.57	Professional		$22.91	$34.67	$64.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.23 / $23.44	Professional	26	$7.08	$10.23	$23.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $41.69	Professional	TC	$15.14	$22.91	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $63.10	Professional		$19.05	$19.95	$63.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $10.47 / $11.75	Professional	26	$7.24	$10.47	$11.75
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $4.47 / $4.47 / $5.25	Professional	52	$4.47	$4.47	$5.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.67 / $63.10	Professional		$33.88	$34.67	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $11.22 / $19.50	Professional	26	$10.96	$11.22	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $23.44 / $43.65	Professional	TC	$22.91	$23.44	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $13.49	Professional		$8.13	$11.22	$13.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $154.88	Professional		$28.18	$51.29	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $16.98 / $48.98	Professional	26	$9.12	$16.98	$48.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $39.81 / $93.33	Professional	TC	$19.95	$39.81	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $33.11	Professional		$18.20	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $51.29	Professional		$28.18	$35.48	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $16.22	Professional	26	$8.71	$10.72	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.55 / $36.31	Professional	TC	$19.05	$24.55	$36.31