Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.28 / $8.16 / $14.25	Facility	26	$7.28	$8.16	$14.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $36.95 / $84.42	Professional		$30.52	$36.95	$84.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $8.90 / $17.44	Professional	26	$7.73	$8.90	$17.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $28.10 / $54.79	Professional	TC	$22.26	$28.10	$54.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $44.24 / $44.24	Professional		$29.71	$44.24	$44.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.74 / $10.06	Professional	26	$6.17	$7.74	$10.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $30.40 / $50.51	Professional		$25.84	$30.40	$50.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.00 / $9.42 / $14.91	Professional	26	$8.00	$9.42	$14.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.76 / $45.60 / $75.88	Professional	50	$38.76	$45.60	$75.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $20.98 / $37.72	Professional	TC	$16.89	$20.98	$37.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $31.00 / $48.58	Professional		$8.51	$31.00	$48.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $45.71 / $76.47	Professional		$28.23	$45.71	$76.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.33 / $19.26	Professional	26	$8.27	$12.33	$19.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.80 / $33.45 / $56.09	Professional	TC	$20.80	$33.45	$56.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $32.34 / $32.34	Professional		$13.87	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $35.24 / $55.08	Professional		$25.49	$35.24	$55.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.56 / $9.47 / $14.43	Professional	26	$7.56	$9.47	$14.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.35 / $27.29 / $42.61	Professional	TC	$17.35	$27.29	$42.61