Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.42 / $43.18 / $52.06	Facility	26	$26.42	$43.18	$52.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $49.07 / $92.32	Professional		$40.90	$49.07	$92.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.55 / $27.73 / $52.30	Professional	26	$25.55	$27.73	$52.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $18.39 / $37.99	Professional	TC	$14.49	$18.39	$37.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $34.99 / $34.99	Professional		$34.99	$34.99	$34.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $41.57 / $44.77	Professional	26	$39.97	$41.57	$44.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $69.00	Professional		$23.61	$23.61	$69.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $15.26 / $43.70	Professional	26	$15.26	$15.26	$43.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.35 / $8.35 / $26.03	Professional	TC	$8.35	$8.35	$26.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $41.57 / $70.98	Professional		$21.54	$41.57	$70.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.29 / $50.29 / $50.29	Facility	26	$50.29	$50.29	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $56.16 / $87.30	Professional		$26.06	$56.16	$87.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.25 / $36.65 / $64.28	Professional	26	$16.25	$36.65	$64.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.08 / $18.38 / $32.40	Professional	TC	$9.08	$18.38	$32.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $54.39 / $102.80	Professional		$32.82	$54.39	$102.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.65 / $36.51 / $57.54	Professional	26	$22.65	$36.51	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.26 / $18.53 / $36.10	Professional	TC	$15.26	$18.53	$36.10