Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.58 / $11.58 / $17.87	Facility	26	$11.58	$11.58	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $43.10 / $53.93	Professional		$36.93	$43.10	$53.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $11.89 / $20.76	Professional	26	$10.86	$11.89	$20.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.26 / $31.21 / $39.14	Professional	TC	$26.26	$31.21	$39.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $36.57 / $36.57	Professional		$34.72	$36.57	$36.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.23 / $11.55 / $17.61	Professional	26	$9.23	$11.55	$17.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $44.21 / $70.73	Professional		$39.68	$44.21	$70.73
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $16.89 / $23.32	Professional	26	$13.41	$16.89	$23.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.17 / $27.31 / $43.90	Professional	TC	$26.17	$27.31	$43.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $36.70 / $56.88	Professional		$12.27	$36.70	$56.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $54.96 / $97.38	Professional		$41.30	$54.96	$97.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $16.46 / $26.86	Professional	26	$11.66	$16.46	$26.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.17 / $38.28 / $70.73	Professional	TC	$28.17	$38.28	$70.73
United Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $46.56 / $81.26	Professional		$38.82	$46.56	$81.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $13.81 / $23.22	Professional	26	$11.79	$13.81	$23.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.24 / $32.85 / $55.56	Professional	TC	$26.24	$32.85	$55.56