Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $11.48 / $15.85	Facility	26	$8.71	$11.48	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $208.93	Professional		$51.29	$69.18	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $33.11	Professional	26	$7.94	$10.96	$33.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	52	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $93.33	Professional	TC	$42.66	$51.29	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $77.62	Professional		$42.66	$56.23	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $13.80	Professional	26	$8.32	$11.22	$13.80
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	TC	$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $63.10	Professional		$39.81	$46.77	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.76 / $10.47	Professional	26	$6.61	$7.76	$10.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $39.81 / $52.48	Professional	TC	$33.11	$39.81	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $46.77 / $67.61	Professional		$8.91	$46.77	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $263.03	Professional		$50.12	$74.13	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.59 / $40.74	Professional	26	$8.32	$12.59	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $64.57 / $223.87	Professional	TC	$41.69	$64.57	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $32.36 / $42.66	Professional		$7.08	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $97.72	Professional		$46.77	$57.54	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.55 / $16.60	Professional	26	$7.76	$9.55	$16.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $47.86 / $81.28	Professional	TC	$38.90	$47.86	$81.28