Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $15.21 / $22.61	Facility	26	$11.16	$15.21	$22.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.23 / $26.92 / $153.68	Facility	TC	$24.23	$26.92	$153.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $40.00 / $75.87	Professional		$35.39	$40.00	$75.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $12.57 / $19.78	Professional	26	$11.90	$12.57	$19.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $27.64 / $51.90	Professional	TC	$23.17	$27.64	$51.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $45.25 / $45.25	Professional		$41.56	$45.25	$45.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $9.50 / $9.61	Professional	26	$9.49	$9.50	$9.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $33.20 / $33.20 / $33.20	Professional	TC	$33.20	$33.20	$33.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $35.70 / $48.16	Professional		$30.34	$35.70	$48.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $13.22 / $16.64	Professional	26	$11.23	$13.22	$16.64
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.47 / $33.90	Professional	TC	$20.42	$22.47	$33.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $18.98 / $52.37	Professional		$13.12	$18.98	$52.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $51.04 / $81.83	Professional		$35.99	$51.04	$81.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $18.50 / $30.78	Professional	26	$12.75	$18.50	$30.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.83 / $34.34 / $51.05	Professional	TC	$24.83	$34.34	$51.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $32.34 / $32.34	Professional		$19.26	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $43.49 / $59.11	Professional		$35.26	$43.49	$59.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.24 / $15.08 / $20.57	Professional	26	$12.24	$15.08	$20.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $27.61 / $39.90	Professional	TC	$22.62	$27.61	$39.90