Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.85 / $28.18	Facility	26	$15.14	$15.85	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $97.72	Professional		$33.88	$44.67	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $35.48	Professional	26	$12.88	$15.85	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $54.95	Professional	TC	$19.95	$28.18	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $85.11	Professional		$35.48	$35.48	$85.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $15.49 / $28.84	Professional	26	$15.14	$15.49	$28.84
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $54.95	Professional	TC	$37.15	$37.15	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $85.11	Professional		$41.69	$42.66	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $18.20 / $29.51	Professional	26	$17.38	$18.20	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $24.55 / $61.66	Professional	TC	$23.99	$24.55	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $24.55	Professional		$12.88	$20.42	$24.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $18.62 / $26.92	Facility	26	$3.98	$18.62	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $218.78	Professional		$41.69	$67.61	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $26.30 / $75.86	Professional	26	$15.14	$26.30	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $44.67 / $141.25	Professional	TC	$25.12	$44.67	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $38.02	Professional		$26.30	$32.36	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $69.18	Professional		$38.02	$47.86	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.38 / $26.92	Professional	26	$14.13	$17.38	$26.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $30.20 / $45.71	Professional	TC	$22.39	$30.20	$45.71