Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.96 / $16.98	Facility	26	$9.12	$10.96	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $213.80	Professional		$32.36	$58.88	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $32.36	Professional	26	$7.94	$10.96	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $38.02 / $97.72	Professional	TC	$22.91	$38.02	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $72.44	Professional		$26.30	$33.88	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $17.38	Professional	26	$7.08	$9.77	$17.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $54.95	Professional	TC	$22.39	$33.11	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $194.98	Professional		$48.98	$52.48	$194.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $11.48 / $26.92	Professional	26	$10.72	$11.48	$26.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $41.69 / $169.82	Professional	TC	$35.48	$41.69	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $28.84 / $45.71	Professional		$9.55	$28.84	$45.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $107.15 / $331.13	Professional		$35.48	$107.15	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $16.98 / $43.65	Professional	26	$9.33	$16.98	$43.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $91.20 / $199.53	Professional	TC	$29.51	$91.20	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $107.15	Professional		$34.67	$66.07	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.23 / $16.22	Professional	26	$7.76	$10.23	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $51.29 / $102.33	Professional	TC	$25.12	$51.29	$102.33