Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.68 / $10.83 / $19.07	Facility	26	$9.68	$10.83	$19.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.77 / $23.07 / $131.72	Facility	TC	$20.77	$23.07	$131.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $34.11 / $136.80	Professional		$30.44	$34.11	$136.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $11.90 / $47.20	Professional	26	$10.30	$11.90	$47.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $23.69 / $48.21	Professional	TC	$20.77	$23.69	$48.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $41.35 / $48.65	Professional		$24.18	$41.35	$48.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.98 / $12.86	Professional	26	$8.22	$10.98	$12.86
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $22.14 / $28.78	Professional	TC	$18.82	$22.14	$28.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $30.51 / $41.06	Professional		$25.93	$30.51	$41.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.21 / $14.04	Professional	26	$9.52	$11.21	$14.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $19.30 / $29.08	Professional	TC	$17.32	$19.30	$29.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $25.46 / $45.40	Professional		$11.81	$25.46	$45.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $44.46 / $69.98	Professional		$32.45	$44.46	$69.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $15.74 / $26.13	Professional	26	$11.07	$15.74	$26.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.48 / $43.85	Professional	TC	$21.38	$29.48	$43.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $32.34 / $32.34	Professional		$16.54	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $36.45 / $51.03	Professional		$30.12	$36.45	$51.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $12.68 / $17.87	Professional	26	$10.30	$12.68	$17.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.28 / $23.79 / $34.36	Professional	TC	$19.28	$23.79	$34.36