Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.89 / $12.00 / $16.03	Facility	26	$7.89	$12.00	$16.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $19.17 / $33.54 / $121.60	Facility	TC	$19.17	$33.54	$121.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $30.81 / $82.21	Professional		$26.78	$30.81	$82.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $8.83 / $35.20	Professional	26	$8.38	$8.83	$35.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.68 / $42.04	Professional	TC	$18.32	$21.68	$42.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $24.88 / $32.15	Professional		$24.88	$24.88	$32.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $6.71 / $10.07	Professional	26	$6.69	$6.71	$10.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $27.82 / $38.90	Professional		$27.01	$27.82	$38.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $9.42 / $12.33	Professional	26	$8.59	$9.42	$12.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.56 / $16.03 / $26.88	Professional	TC	$15.56	$16.03	$26.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $23.83 / $40.75	Professional		$9.36	$23.83	$40.75
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 Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $38.29 / $61.52	Professional		$28.54	$38.29	$61.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $12.94 / $21.27	Professional	26	$8.98	$12.94	$21.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $27.40 / $40.24	Professional	TC	$19.50	$27.40	$40.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $32.34 / $32.34	Professional		$15.30	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $30.99 / $44.43	Professional		$26.48	$30.99	$44.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $10.35 / $14.57	Professional	26	$8.57	$10.35	$14.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.35 / $31.33	Professional	TC	$17.57	$21.35	$31.33