Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.93 / $15.53	Facility	26	$8.76	$8.93	$15.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $58.09 / $99.49	Professional		$51.93	$58.09	$99.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.13 / $21.06	Professional	26	$7.98	$9.13	$21.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.47 / $26.66 / $29.48	Professional	52	$25.47	$26.66	$29.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $45.37 / $73.34	Professional	TC	$43.56	$45.37	$73.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $58.78 / $79.93	Professional		$45.77	$58.78	$79.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $10.18 / $11.40	Professional	26	$8.14	$10.18	$11.40
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $60.44 / $75.00	Professional	TC	$38.40	$60.44	$75.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $47.20 / $66.81	Professional		$40.11	$47.20	$66.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $7.82 / $11.70	Professional	26	$6.64	$7.82	$11.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $39.38 / $55.28	Professional	TC	$33.47	$39.38	$55.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $46.33 / $67.81	Professional		$8.94	$46.33	$67.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $66.37 / $99.39	Professional		$48.20	$66.37	$99.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $10.82 / $16.69	Professional	26	$8.23	$10.82	$16.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.88 / $56.03 / $82.84	Professional	TC	$39.88	$56.03	$82.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $32.34 / $42.65	Professional		$7.12	$32.34	$42.65
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $60.61 / $98.97	Professional		$47.63	$60.61	$98.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $9.86 / $17.38	Professional	26	$7.85	$9.86	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.22 / $48.35 / $80.50	Professional	TC	$39.22	$48.35	$80.50