Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $44.67 / $77.62	Facility		$18.62	$44.67	$77.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $5.37 / $7.59	Facility	26	$5.37	$5.37	$7.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $44.67	Professional		$10.96	$15.14	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $6.31 / $15.14	Professional	26	$3.02	$6.31	$15.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $10.96 / $25.70	Professional	TC	$7.08	$10.96	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.79	Professional		$10.00	$10.00	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $4.27 / $5.89	Professional	26	$1.95	$4.27	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.47 / $16.60	Professional		$9.77	$10.47	$16.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $6.76 / $7.76	Professional	26	$5.62	$6.76	$7.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $3.24 / $12.30	Professional	TC	$2.88	$3.24	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $14.79 / $20.89	Facility		$5.62	$14.79	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $11.48 / $19.50	Professional		$4.79	$11.48	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $29.51 / $35.48	Facility		$24.55	$29.51	$35.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.05 / $4.90 / $6.92	Facility	26	$1.05	$4.90	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $19.95 / $77.62	Professional		$7.41	$19.95	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $5.01 / $26.30	Professional	26	$2.09	$5.01	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $13.80 / $60.26	Professional	TC	$5.13	$13.80	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $13.18	Facility		$5.25	$7.94	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $31.62	Professional		$14.13	$18.20	$31.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $4.47 / $8.91	Professional	26	$3.24	$4.47	$8.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $13.80 / $22.39	Professional	TC	$9.77	$13.80	$22.39