Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.00 / $2.82	Facility	26	$2.00	$2.00	$2.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $36.31	Professional		$12.88	$18.62	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $7.08	Professional	26	$2.00	$3.02	$7.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $12.88 / $26.30	Professional	TC	$10.96	$12.88	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $16.22	Professional		$11.75	$13.49	$16.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $3.09 / $3.16	Professional	26	$3.09	$3.09	$3.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $29.51	Professional		$17.78	$20.89	$29.51
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $5.75 / $7.94	Professional	26	$4.90	$5.75	$7.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $15.49 / $20.89	Professional	TC	$12.30	$15.49	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.95 / $4.07	Professional		$2.19	$2.95	$4.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $100.00	Professional		$15.14	$30.20	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.41 / $28.18	Professional	26	$3.02	$7.41	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $22.91 / $57.54	Professional	TC	$12.30	$22.91	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $19.05 / $33.11	Professional		$5.37	$19.05	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $38.90	Professional		$18.20	$23.44	$38.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $5.50 / $8.91	Professional	26	$3.89	$5.50	$8.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $18.20 / $30.90	Professional	TC	$13.80	$18.20	$30.90