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 / $23.10	Facility	26	$12.52	$12.52	$23.10
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.72 / $44.63 / $96.78	Facility	TC	$27.72	$44.63	$96.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $42.57 / $55.34	Professional		$36.76	$42.57	$55.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $13.29 / $20.82	Professional	26	$11.73	$13.29	$20.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $28.87 / $36.29	Professional	TC	$25.03	$28.87	$36.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $33.29 / $35.02	Professional		$32.28	$33.29	$35.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $12.49 / $18.73	Professional	26	$9.98	$12.49	$18.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $52.12 / $80.78	Professional		$43.30	$52.12	$80.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.52 / $21.90 / $30.22	Professional	26	$17.52	$21.90	$30.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.89 / $30.22 / $49.56	Professional	TC	$27.89	$30.22	$49.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $34.86 / $54.53	Professional		$13.27	$34.86	$54.53
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 Facility Modifier TC Low / Median / High Price $35.04 / $35.04 / $35.04	Facility	TC	$35.04	$35.04	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $60.26 / $104.42	Professional		$40.11	$60.26	$104.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.86 / $19.55 / $35.94	Professional	26	$12.86	$19.55	$35.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $40.28 / $68.48	Professional	TC	$27.69	$40.28	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $49.54 / $81.84	Professional		$40.39	$49.54	$81.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.89 / $17.10 / $27.57	Professional	26	$13.89	$17.10	$27.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.46 / $31.14 / $53.70	Professional	TC	$25.46	$31.14	$53.70