Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.89 / $22.36 / $38.81	Facility	26	$21.89	$22.36	$38.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $33.47 / $58.60	Professional		$30.95	$33.47	$58.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $22.36 / $40.53	Professional	26	$19.98	$22.36	$40.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.15 / $16.23 / $18.07	Professional	52	$15.15	$16.23	$18.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $11.33 / $18.05	Professional	TC	$9.92	$11.33	$18.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $38.13 / $46.05	Professional		$32.33	$38.13	$46.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $25.46 / $30.17	Professional	26	$20.32	$25.46	$30.17
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.03 / $20.03 / $20.03	Professional	TC	$20.03	$20.03	$20.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $32.29 / $40.09	Professional		$27.44	$32.29	$40.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $22.78 / $32.08	Professional	26	$18.39	$22.78	$32.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.83 / $10.60 / $15.88	Professional	TC	$8.83	$10.60	$15.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $24.28 / $43.62	Professional		$11.87	$24.28	$43.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $41.83 / $63.90	Professional		$30.02	$41.83	$63.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $28.35 / $44.30	Professional	26	$20.61	$28.35	$44.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.44 / $13.51 / $20.10	Professional	TC	$9.44	$13.51	$20.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $26.61 / $32.34	Professional		$8.34	$26.61	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $37.34 / $62.76	Professional		$29.28	$37.34	$62.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.27 / $25.65 / $43.49	Professional	26	$20.27	$25.65	$43.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.06 / $11.45 / $19.35	Professional	TC	$9.06	$11.45	$19.35