Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.30 / $16.60	Facility	26	$10.96	$12.30	$16.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $37.15 / $158.49	Facility	TC	$25.70	$37.15	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $89.13	Professional		$33.88	$43.65	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $31.62	Professional	26	$10.96	$14.13	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.18 / $52.48	Professional	TC	$21.88	$28.18	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $97.72	Professional		$34.67	$34.67	$97.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $24.55	Professional	26	$9.55	$13.18	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $47.86	Professional		$35.48	$35.48	$47.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.18 / $16.60	Professional	26	$13.18	$13.18	$16.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.39 / $30.90	Professional	TC	$22.39	$22.39	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $19.05	Professional		$11.48	$15.49	$19.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.09 / $14.45 / $20.89	Facility	26	$3.09	$14.45	$20.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $6.92 / $32.36 / $46.77	Facility	TC	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $199.53	Professional		$37.15	$53.70	$199.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.44 / $58.88	Professional	26	$12.88	$23.44	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $42.66 / $141.25	Professional	TC	$24.55	$42.66	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $33.11	Professional		$18.62	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $61.66	Professional		$34.67	$41.69	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.14 / $22.39	Professional	26	$12.30	$15.14	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.30 / $41.69	Professional	TC	$21.88	$26.30	$41.69