Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $12.05 / $20.89	Facility	26	$11.78	$12.05	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $41.55 / $71.06	Professional		$39.90	$41.55	$71.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $12.01 / $19.51	Professional	26	$10.76	$12.01	$19.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.23 / $30.06 / $48.42	Professional	TC	$28.23	$30.06	$48.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $40.61 / $72.56	Professional		$36.97	$40.61	$72.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.72 / $15.33	Professional	26	$9.97	$13.72	$15.33
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $27.01 / $52.81	Professional	TC	$27.01	$27.01	$52.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $37.81 / $52.76	Professional		$32.13	$37.81	$52.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.77 / $16.16	Professional	26	$10.00	$11.77	$16.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $26.04 / $36.54	Professional	TC	$22.13	$26.04	$36.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $32.64 / $55.09	Professional		$12.07	$32.64	$55.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $52.69 / $79.72	Professional		$37.95	$52.69	$79.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $15.54 / $23.87	Professional	26	$11.11	$15.54	$23.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.20 / $37.72 / $54.76	Professional	TC	$26.20	$37.72	$54.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $32.34 / $34.06	Professional		$10.68	$32.34	$34.06
United Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $45.99 / $80.20	Professional		$37.42	$45.99	$80.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.88 / $13.93 / $23.88	Professional	26	$10.88	$13.93	$23.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.63 / $32.97 / $54.29	Professional	TC	$25.63	$32.97	$54.29