Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $8.13 / $15.14	Facility	26	$7.76	$8.13	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $93.33	Professional		$30.20	$42.66	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $20.42	Professional	26	$7.08	$8.91	$20.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $29.51 / $61.66	Professional	TC	$22.39	$29.51	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $52.48	Professional		$25.12	$31.62	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.76 / $8.51	Professional	26	$6.46	$7.76	$8.51
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $33.11 / $67.61	Professional	TC	$19.05	$33.11	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $52.48	Professional		$26.92	$30.20	$52.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.33 / $16.60	Professional	26	$9.12	$9.33	$16.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.74 / $45.71 / $77.62	Professional	50	$40.74	$45.71	$77.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.89 / $38.02	Professional	TC	$17.78	$20.89	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $29.51 / $46.77	Professional		$8.51	$29.51	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $186.21	Professional		$28.18	$50.12	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.79 / $43.65	Professional	26	$8.32	$14.79	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.02 / $147.91	Professional	TC	$20.89	$38.02	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $33.11	Professional		$13.49	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $57.54	Professional		$25.70	$33.88	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $14.45	Professional	26	$7.76	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $25.12 / $42.66	Professional	TC	$17.38	$25.12	$42.66