Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.68 / $9.88 / $16.32	Facility	26	$9.68	$9.88	$16.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $35.04 / $47.30	Professional		$30.94	$35.04	$47.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.60 / $18.21	Professional	26	$9.11	$10.60	$18.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $24.91 / $31.81	Professional	TC	$21.83	$24.91	$31.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $29.59 / $32.61	Professional		$28.10	$29.59	$32.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $8.22 / $10.29	Professional	26	$7.69	$8.22	$10.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.93 / $28.93 / $28.93	Professional	TC	$28.93	$28.93	$28.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $42.68 / $67.86	Professional		$35.89	$42.68	$67.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $16.39 / $22.63	Professional	26	$13.12	$16.39	$22.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.31 / $26.28 / $42.83	Professional	TC	$24.31	$26.28	$42.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $27.96 / $44.16	Professional		$10.14	$27.96	$44.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $50.06 / $85.05	Professional		$33.28	$50.06	$85.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $14.65 / $26.42	Professional	26	$9.96	$14.65	$26.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.15 / $34.32 / $59.54	Professional	TC	$24.15	$34.32	$59.54
United Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $40.89 / $68.81	Professional		$33.38	$40.89	$68.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.40 / $12.51 / $20.79	Professional	26	$10.40	$12.51	$20.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $28.18 / $47.71	Professional	TC	$22.40	$28.18	$47.71