Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.52 / $12.52 / $19.17	Facility	26	$12.52	$12.52	$19.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $44.39 / $54.49	Professional		$37.14	$44.39	$54.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.53 / $12.75 / $17.27	Professional	26	$11.53	$12.75	$17.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.22 / $31.57 / $38.59	Professional	TC	$26.22	$31.57	$38.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $37.34 / $37.34	Professional		$37.34	$37.34	$37.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.75 / $9.98 / $14.99	Professional	26	$3.75	$9.98	$14.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $45.51 / $72.81	Professional		$40.77	$45.51	$72.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $18.20 / $25.13	Professional	26	$14.56	$18.20	$25.13
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 $13.27 / $35.09 / $58.14	Professional		$13.27	$35.09	$58.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $15.41	Facility	26	$15.41	$15.41	$15.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $57.38 / $99.57	Professional		$42.00	$57.38	$99.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $17.54 / $29.18	Professional	26	$12.72	$17.54	$29.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.54 / $39.57 / $70.73	Professional	TC	$28.54	$39.57	$70.73
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $47.28 / $80.38	Professional		$40.04	$47.28	$80.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.49 / $14.99 / $25.13	Professional	26	$12.49	$14.99	$25.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.57 / $32.84 / $55.56	Professional	TC	$26.57	$32.84	$55.56