Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $14.98 / $26.86	Facility	26	$13.49	$14.98	$26.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $48.42 / $91.32	Professional		$43.64	$48.42	$91.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $15.11 / $33.83	Professional	26	$13.58	$15.11	$33.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.22 / $34.03 / $60.00	Professional	TC	$29.22	$34.03	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $55.92 / $55.92	Professional		$55.92	$55.92	$55.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $14.35 / $18.66	Professional	26	$11.39	$14.35	$18.66
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	TC	$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $43.93 / $73.92	Professional		$36.25	$43.93	$73.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.63 / $17.22 / $27.30	Professional	26	$14.63	$17.22	$27.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.04 / $26.71 / $45.35	Professional	TC	$22.04	$26.71	$45.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $33.94 / $61.40	Professional		$16.50	$33.94	$61.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $64.06 / $98.00	Professional		$43.01	$64.06	$98.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.94 / $22.81 / $34.68	Professional	26	$14.94	$22.81	$34.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.19 / $41.73 / $65.36	Professional	TC	$28.19	$41.73	$65.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $32.34 / $37.75	Professional		$24.53	$32.34	$37.75
United Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $49.08 / $74.23	Professional		$39.99	$49.08	$74.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $17.04 / $24.36	Professional	26	$13.82	$17.04	$24.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.07 / $31.55 / $47.14	Professional	TC	$26.07	$31.55	$47.14