Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.63 / $10.63 / $17.91	Facility	26	$10.63	$10.63	$17.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $48.84 / $59.91	Professional		$40.75	$48.84	$59.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.93 / $11.06 / $14.63	Professional	26	$9.93	$11.06	$14.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.47 / $37.56 / $46.37	Professional	TC	$31.47	$37.56	$46.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $41.47 / $41.47	Professional		$38.26	$41.47	$41.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $8.48 / $15.90	Professional	26	$8.19	$8.48	$15.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $46.06 / $73.69	Professional		$41.52	$46.06	$73.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $16.00 / $22.08	Professional	26	$12.54	$16.00	$22.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.72 / $30.06 / $48.09	Professional	TC	$28.72	$30.06	$48.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $44.57 / $64.45	Professional		$11.26	$44.57	$64.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.10 / $13.10 / $13.10	Facility	26	$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $61.10 / $109.42	Professional		$44.76	$61.10	$109.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $15.20 / $25.50	Professional	26	$10.91	$15.20	$25.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.07 / $42.82 / $84.69	Professional	TC	$33.07	$42.82	$84.69
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $52.33 / $86.64	Professional		$42.73	$52.33	$86.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.99 / $13.27 / $21.47	Professional	26	$10.99	$13.27	$21.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.15 / $38.57 / $64.64	Professional	TC	$31.15	$38.57	$64.64