Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.00 / $9.00 / $16.14	Facility	26	$9.00	$9.00	$16.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $29.76 / $36.76	Professional		$24.59	$29.76	$36.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $9.09 / $11.51	Professional	26	$8.14	$9.09	$11.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $20.66 / $25.26	Professional	TC	$16.72	$20.66	$25.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $8.63 / $13.77	Professional	26	$8.63	$8.63	$13.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $33.40 / $49.20	Professional		$28.83	$33.40	$49.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $12.80 / $17.98	Professional	26	$10.05	$12.80	$17.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $20.61 / $31.94	Professional	TC	$18.82	$20.61	$31.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $23.81 / $38.92	Professional		$9.44	$23.81	$38.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $40.32 / $66.34	Professional		$28.26	$40.32	$66.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.94 / $20.86	Professional	26	$8.71	$11.94	$20.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $28.12 / $46.70	Professional	TC	$19.35	$28.12	$46.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $32.88 / $56.18	Professional		$27.14	$32.88	$56.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.90 / $10.47 / $18.30	Professional	26	$8.90	$10.47	$18.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $22.08 / $36.97	Professional	TC	$18.07	$22.08	$36.97