Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $60.26	Facility		$24.55	$31.62	$60.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $20.42	Facility	26	$15.14	$15.14	$20.42
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $9.55 / $9.55 / $11.22	Facility	TC	$9.55	$9.55	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $57.54	Professional		$15.14	$20.89	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $25.12 / $77.62	Professional	26	$8.91	$25.12	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.41 / $52.48	Professional	TC	$5.01	$7.41	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $18.62	Professional		$9.12	$9.12	$18.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $5.62 / $15.49	Professional	26	$5.50	$5.62	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $24.55	Professional		$8.13	$8.13	$24.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $5.37 / $19.05	Professional	26	$5.37	$5.37	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $3.16 / $5.25	Professional	TC	$2.82	$3.16	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $26.30	Facility		$9.55	$15.49	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.49 / $24.55	Professional		$8.13	$13.49	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $34.67	Facility		$15.14	$20.89	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $2.00 / $9.33 / $13.18	Facility	TC	$2.00	$9.33	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $95.50	Professional		$9.55	$20.89	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $14.79 / $60.26	Professional	26	$5.75	$14.79	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.89 / $38.90	Professional	TC	$3.72	$5.89	$38.90
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 $7.24 / $10.96 / $18.20	Facility		$7.24	$10.96	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $38.02	Professional		$13.18	$20.42	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.59 / $23.99	Professional	26	$9.12	$12.59	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $7.94 / $13.80	Professional	TC	$4.57	$7.94	$13.80