Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.34 / $35.65 / $48.34	Facility	26	$27.34	$35.65	$48.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $59.67 / $109.25	Professional		$56.98	$59.67	$109.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $27.85 / $46.34	Professional	26	$25.28	$27.85	$46.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $32.93 / $58.03	Professional	TC	$30.06	$32.93	$58.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $54.25 / $54.25	Professional		$54.25	$54.25	$54.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $25.39 / $25.39 / $45.73	Professional	26	$25.39	$25.39	$45.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $57.51 / $57.51 / $57.51	Professional	TC	$57.51	$57.51	$57.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $58.85 / $149.60	Professional		$50.02	$58.85	$149.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.66 / $30.74 / $45.56	Professional	26	$25.66	$30.74	$45.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.89 / $28.23 / $117.47	Professional	TC	$23.89	$28.23	$117.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $35.58 / $70.41	Professional		$27.48	$35.58	$70.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.36 / $31.36 / $31.36	Facility	26	$31.36	$31.36	$31.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $75.37 / $163.19	Professional		$55.04	$75.37	$163.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $35.69 / $55.11	Professional	26	$25.82	$35.69	$55.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.35 / $39.29 / $125.00	Professional	TC	$27.35	$39.29	$125.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $32.34 / $68.23	Professional		$28.53	$32.34	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $64.48 / $114.61	Professional		$50.02	$64.48	$114.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.96 / $32.00 / $54.22	Professional	26	$24.96	$32.00	$54.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.98 / $32.52 / $56.77	Professional	TC	$24.98	$32.52	$56.77