Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.10 / $10.34 / $18.64	Facility	26	$10.10	$10.34	$18.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $62.60 / $147.90	Professional		$36.01	$62.60	$147.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $13.69 / $25.84	Professional	26	$9.68	$13.69	$25.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.90 / $33.65 / $61.46	Professional	TC	$25.90	$33.65	$61.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $40.67 / $52.76	Professional		$32.00	$40.67	$52.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $11.75 / $13.16	Professional	26	$8.52	$11.75	$13.16
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.19 / $25.81 / $45.93	Professional	TC	$17.19	$25.81	$45.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $55.58 / $75.37	Professional		$47.11	$55.58	$75.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $14.27 / $21.60	Professional	26	$11.91	$14.27	$21.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.19 / $41.31 / $57.65	Professional	TC	$34.19	$41.31	$57.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $28.39 / $47.73	Professional		$10.34	$28.39	$47.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $67.29 / $100.92	Professional		$37.19	$67.29	$100.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $17.76 / $26.97	Professional	26	$9.86	$17.76	$26.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.16 / $48.83 / $73.88	Professional	TC	$27.16	$48.83	$73.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.99 / $32.34 / $45.35	Professional		$18.99	$32.34	$45.35
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $61.88 / $102.10	Professional		$48.22	$61.88	$102.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.35 / $14.73 / $25.09	Professional	26	$11.35	$14.73	$25.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $47.18 / $80.45	Professional	TC	$36.04	$47.18	$80.45