Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.07 / $8.25 / $14.31	Facility	26	$8.07	$8.25	$14.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $36.29 / $60.70	Professional		$24.88	$36.29	$60.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.07 / $47.07 / $47.07	Professional	25	$47.07	$47.07	$47.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.44 / $16.64	Professional	26	$7.50	$8.44	$16.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $20.81 / $38.32	Professional	TC	$17.05	$20.81	$38.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $28.11 / $35.94	Professional		$23.96	$28.11	$35.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.38 / $10.50	Professional	26	$7.97	$9.38	$10.50
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $17.16 / $30.61	Professional	TC	$17.16	$17.16	$30.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $33.07 / $44.81	Professional		$27.96	$33.07	$44.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $8.89 / $13.68	Professional	26	$7.55	$8.89	$13.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.13 / $24.18 / $33.00	Professional	TC	$18.13	$24.18	$33.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $18.94 / $33.54	Professional		$8.25	$18.94	$33.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $39.57 / $58.06	Professional		$25.71	$39.57	$58.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $10.40 / $15.93	Professional	26	$7.63	$10.40	$15.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $28.73 / $42.63	Professional	TC	$18.11	$28.73	$42.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $24.44 / $32.34	Professional		$9.73	$24.44	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $37.17 / $63.17	Professional		$28.28	$37.17	$63.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.46 / $16.28	Professional	26	$7.28	$9.46	$16.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.01 / $27.43 / $45.84	Professional	TC	$21.01	$27.43	$45.84