Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $7.76 / $13.08	Facility	26	$7.76	$7.76	$13.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $30.00 / $36.68	Professional		$24.77	$30.00	$36.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $8.08 / $11.06	Professional	26	$7.28	$8.08	$11.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $21.87 / $26.74	Professional	TC	$17.97	$21.87	$26.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $11.91 / $11.91	Professional	26	$6.16	$11.91	$11.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $32.35 / $51.76	Professional		$28.83	$32.35	$51.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.40 / $15.73	Professional	26	$9.11	$11.40	$15.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $20.95 / $34.40	Professional	TC	$19.82	$20.95	$34.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $25.60 / $39.24	Professional		$8.22	$25.60	$39.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $40.72 / $66.26	Professional		$27.91	$40.72	$66.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $11.06 / $18.23	Professional	26	$7.91	$11.06	$18.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $29.13 / $48.39	Professional	TC	$20.45	$29.13	$48.39
United Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $32.15 / $55.10	Professional		$27.08	$32.15	$55.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $9.10 / $15.56	Professional	26	$7.70	$9.10	$15.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.85 / $23.05 / $40.10	Professional	TC	$18.85	$23.05	$40.10