Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $12.88 / $17.38	Facility	26	$9.77	$12.88	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $91.20	Professional		$30.20	$40.74	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $33.11	Professional	26	$8.91	$14.13	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $54.95	Professional	TC	$20.89	$28.18	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $34.67	Professional		$23.99	$28.18	$34.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.13 / $16.60	Professional	26	$7.08	$8.13	$16.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $20.89 / $25.12	Professional	TC	$18.20	$20.89	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $70.79	Professional		$38.02	$42.66	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.22 / $25.70	Professional	26	$12.59	$16.22	$25.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $26.30 / $46.77	Professional	TC	$24.55	$26.30	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $28.84 / $45.71	Professional		$10.72	$28.84	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $85.11	Professional		$37.15	$61.66	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $26.92	Professional	26	$9.12	$14.79	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $63.10	Professional	TC	$22.39	$34.67	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $64.57	Professional		$33.11	$40.74	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.59 / $19.95	Professional	26	$10.47	$12.59	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $44.67	Professional	TC	$22.39	$27.54	$44.67