Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $16.60 / $20.42	Facility	26	$13.80	$16.60	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $114.82	Professional		$37.15	$47.86	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.85 / $35.48	Professional	26	$10.00	$15.85	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $67.61	Professional	TC	$25.70	$33.11	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $53.70	Professional		$28.84	$34.67	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $22.91	Professional	26	$9.12	$10.47	$22.91
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $33.11	Professional	TC	$20.42	$25.12	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $74.13	Professional		$39.81	$44.67	$74.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $16.98 / $26.92	Professional	26	$13.49	$16.98	$26.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $27.54 / $51.29	Professional	TC	$26.30	$27.54	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $100.00	Professional		$37.15	$56.23	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $28.18	Professional	26	$10.72	$16.60	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $39.81 / $74.13	Professional	TC	$27.54	$39.81	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $75.86	Professional		$38.90	$46.77	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.80 / $22.91	Professional	26	$11.75	$13.80	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $32.36 / $52.48	Professional	TC	$26.30	$32.36	$52.48