Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $18.79 / $111.72	Facility		$9.59	$18.79	$111.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.67 / $7.41 / $12.04	Facility	26	$6.67	$7.41	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.12 / $23.59	Professional		$10.19	$13.12	$23.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $8.57 / $15.71	Professional	26	$6.89	$8.57	$15.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.93 / $3.89 / $6.50	Professional	TC	$2.93	$3.89	$6.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Professional		$14.32	$14.32	$14.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $14.19 / $19.64	Professional		$11.26	$14.19	$19.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $9.80 / $14.74	Professional	26	$8.33	$9.80	$14.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.89 / $21.28 / $29.46	Professional	50	$16.89	$21.28	$29.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.56 / $4.25 / $6.15	Professional	TC	$2.56	$4.25	$6.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $8.69 / $14.32	Facility		$3.28	$8.69	$14.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $7.94 / $14.32	Professional		$3.44	$7.94	$14.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $53.42	Facility		$12.68	$12.68	$53.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $16.48 / $29.15	Professional		$11.17	$16.48	$29.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.61 / $12.04 / $18.91	Professional	26	$7.61	$12.04	$18.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.59 / $4.47 / $9.35	Professional	TC	$2.59	$4.47	$9.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $32.34 / $32.34	Professional		$7.21	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.44 / $18.41	Professional		$10.19	$13.44	$18.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $9.22 / $12.75	Professional	26	$7.29	$9.22	$12.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.74 / $3.84 / $5.36	Professional	TC	$2.74	$3.84	$5.36