Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.95 / $10.95 / $17.46	Facility	26	$10.95	$10.95	$17.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $39.63 / $53.72	Professional		$33.99	$39.63	$53.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.10 / $11.23 / $16.30	Professional	26	$10.10	$11.23	$16.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.97 / $28.39 / $36.08	Professional	TC	$23.97	$28.39	$36.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $34.24 / $34.24	Professional		$32.53	$34.24	$34.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $11.23 / $15.92	Professional	26	$8.67	$11.23	$15.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $39.07 / $61.82	Professional		$34.85	$39.07	$61.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $16.39 / $22.63	Professional	26	$12.97	$16.39	$22.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.70 / $22.67 / $36.27	Professional	TC	$21.70	$22.67	$36.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $34.72 / $53.22	Professional		$11.79	$34.72	$53.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $50.44 / $89.86	Professional		$37.00	$50.44	$89.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $15.68 / $26.06	Professional	26	$11.25	$15.68	$26.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.57 / $32.10 / $64.63	Professional	TC	$24.57	$32.10	$64.63
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $42.95 / $75.13	Professional		$35.74	$42.95	$75.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $13.29 / $22.28	Professional	26	$11.30	$13.29	$22.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $29.60 / $53.93	Professional	TC	$23.48	$29.60	$53.93