Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.72 / $81.28	Facility		$5.37	$10.72	$81.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $7.41 / $7.41	Facility	26	$6.03	$7.41	$7.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $40.74	Professional		$10.00	$13.18	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.71 / $33.11	Professional	26	$6.03	$8.71	$33.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $11.48	Professional	50	$11.48	$11.48	$11.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.89 / $7.41	Professional	TC	$2.00	$3.89	$7.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $14.79	Professional		$8.13	$8.71	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $19.95	Professional		$12.30	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $9.77 / $14.79	Professional	26	$9.55	$9.77	$14.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $18.62 / $21.38 / $29.51	Professional	50	$18.62	$21.38	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $4.27 / $5.25	Professional	TC	$2.95	$4.27	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $8.51 / $14.79	Facility		$3.24	$8.51	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $7.76 / $13.18	Professional		$3.47	$7.76	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.78 / $21.38	Facility		$10.00	$17.78	$21.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $54.95	Professional		$11.22	$18.62	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.49 / $41.69	Professional	26	$7.94	$13.49	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $6.03 / $16.98	Professional	TC	$2.57	$6.03	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $32.36 / $33.11	Professional		$7.24	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $20.42	Professional		$10.23	$12.88	$20.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.33 / $13.80	Professional	26	$7.08	$9.33	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $3.80 / $6.46	Professional	TC	$2.45	$3.80	$6.46