Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.04 / $3.65 / $5.91	Facility	26	$3.04	$3.65	$5.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $39.09 / $163.83	Professional		$23.58	$39.09	$163.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.20 / $4.47 / $15.00	Professional	26	$3.20	$4.47	$15.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.35 / $11.79 / $21.34	Professional	52	$11.35	$11.79	$21.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.03 / $33.75 / $90.00	Professional	TC	$20.03	$33.75	$90.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.41 / $3.32 / $3.68	Professional	26	$2.41	$3.32	$3.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $26.75 / $136.83	Professional		$17.30	$26.75	$136.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.32 / $4.05 / $6.05	Professional	26	$3.32	$4.05	$6.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $23.72 / $131.13	Professional	TC	$13.86	$23.72	$131.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $19.25 / $27.40	Professional		$3.11	$19.25	$27.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $52.41 / $150.88	Professional		$22.63	$52.41	$150.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $5.04 / $8.01	Professional	26	$3.09	$5.04	$8.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $46.88 / $145.49	Professional	TC	$20.13	$46.88	$145.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $32.34 / $83.05	Professional		$25.44	$32.34	$83.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $37.97 / $120.60	Professional		$23.07	$37.97	$120.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.19 / $4.63 / $6.49	Professional	26	$3.19	$4.63	$6.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $37.33 / $116.19	Professional	TC	$19.82	$37.33	$116.19