Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.57 / $22.85 / $41.15	Facility	26	$20.57	$22.85	$41.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $82.34 / $330.97	Professional		$44.07	$82.34	$330.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $22.86 / $94.81	Professional	26	$18.01	$22.86	$94.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $41.58 / $93.23	Professional	TC	$20.23	$41.58	$93.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $46.67 / $47.70	Professional		$36.61	$46.67	$47.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $19.67 / $24.23	Professional	26	$17.48	$19.67	$24.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $24.09 / $24.09	Professional	TC	$24.09	$24.09	$24.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $59.47 / $87.30	Professional		$47.16	$59.47	$87.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $18.39 / $32.59	Professional	26	$17.85	$18.39	$32.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.67 / $32.70 / $62.87	Professional	TC	$26.67	$32.70	$62.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $30.84 / $59.24	Professional		$22.71	$30.84	$59.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $88.54 / $168.90	Professional		$44.57	$88.54	$168.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $29.42 / $50.19	Professional	26	$18.76	$29.42	$50.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $62.88 / $132.11	Professional	TC	$23.07	$62.88	$132.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $32.34 / $57.95	Professional		$29.66	$32.34	$57.95
United Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $77.97 / $101.29	Professional		$41.04	$77.97	$101.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $22.67 / $34.75	Professional	26	$17.39	$22.67	$34.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $38.04 / $77.31	Professional	TC	$19.57	$38.04	$77.31