Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.95 / $30.58 / $57.86	Facility	26	$20.95	$30.58	$57.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $54.02 / $179.25	Professional		$28.64	$54.02	$179.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $31.96 / $97.30	Professional	26	$18.21	$31.96	$97.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.16 / $11.26 / $54.79	Professional	TC	$8.16	$11.26	$54.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $73.38 / $86.33	Professional		$46.87	$73.38	$86.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.32 / $32.50 / $39.77	Professional	26	$24.32	$32.50	$39.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.96 / $26.96 / $30.00	Professional	TC	$26.96	$26.96	$30.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $33.75 / $53.61	Professional		$24.57	$33.75	$53.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $23.15 / $33.29	Professional	26	$16.79	$23.15	$33.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.86 / $50.62 / $80.28	Professional	50	$36.86	$50.62	$80.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.01 / $10.34 / $15.76	Professional	TC	$8.01	$10.34	$15.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $39.09 / $76.17	Professional		$29.66	$39.09	$76.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $52.56 / $105.93	Professional		$31.73	$52.56	$105.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $31.19 / $55.26	Professional	26	$21.77	$31.19	$55.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.76 / $17.87 / $56.16	Professional	TC	$10.76	$17.87	$56.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $32.34 / $32.34	Professional		$17.51	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $47.66 / $75.53	Professional		$29.38	$47.66	$75.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $22.68 / $37.17	Professional	26	$19.30	$22.68	$37.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.69 / $18.38 / $40.72	Professional	TC	$9.69	$18.38	$40.72