Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $8.08 / $13.64	Facility	26	$8.08	$8.08	$13.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $34.61 / $43.76	Professional		$29.87	$34.61	$43.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $8.34 / $11.07	Professional	26	$7.59	$8.34	$11.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $26.53 / $33.40	Professional	TC	$21.35	$26.53	$33.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $12.39 / $12.39	Professional	26	$6.42	$12.39	$12.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $30.86 / $43.82	Professional		$27.24	$30.86	$43.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $12.30 / $16.97	Professional	26	$9.59	$12.30	$16.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.54 / $18.55 / $28.76	Professional	TC	$17.54	$18.55	$28.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $32.04 / $46.94	Professional		$8.47	$32.04	$46.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.21 / $68.50	Professional		$30.00	$42.21	$68.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $11.35 / $19.03	Professional	26	$8.28	$11.35	$19.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $28.04 / $55.28	Professional	TC	$20.73	$28.04	$55.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $36.68 / $63.19	Professional		$28.59	$36.68	$63.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $9.75 / $16.44	Professional	26	$8.07	$9.75	$16.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.97 / $26.70 / $47.06	Professional	TC	$18.97	$26.70	$47.06