Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.01 / $7.87 / $10.66	Facility	26	$7.01	$7.87	$10.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.04 / $18.93 / $108.14	Facility	TC	$17.04	$18.93	$108.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $27.24 / $52.89	Professional		$24.34	$27.24	$52.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $7.84 / $14.80	Professional	26	$7.24	$7.84	$14.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.10 / $19.45 / $37.40	Professional	TC	$17.10	$19.45	$37.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $6.06 / $9.33	Professional	26	$5.94	$6.06	$9.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $25.80 / $35.81	Professional		$25.05	$25.80	$35.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.65 / $8.44 / $10.96	Professional	26	$7.65	$8.44	$10.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $17.35 / $25.15	Professional	TC	$16.84	$17.35	$25.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $11.94 / $36.90	Professional		$8.58	$11.94	$36.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $35.95 / $57.70	Professional		$26.37	$35.95	$57.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $11.53 / $18.89	Professional	26	$7.90	$11.53	$18.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $25.00 / $38.79	Professional	TC	$18.30	$25.00	$38.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $32.34 / $32.34	Professional		$14.50	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $29.59 / $41.43	Professional		$24.56	$29.59	$41.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $9.19 / $12.99	Professional	26	$7.62	$9.19	$12.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.70 / $19.92 / $28.15	Professional	TC	$16.70	$19.92	$28.15