Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $9.02 / $15.73	Facility	26	$9.02	$9.02	$15.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $17.42 / $21.22	Professional		$15.15	$17.42	$21.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.50 / $9.41 / $12.39	Professional	26	$8.50	$9.41	$12.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.72 / $7.93 / $11.48	Professional	TC	$6.72	$7.93	$11.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $7.56 / $17.39	Professional	26	$7.45	$7.56	$17.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $30.71 / $47.60	Professional		$21.79	$30.71	$47.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.56 / $13.20 / $18.62	Professional	26	$10.56	$13.20	$18.62
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.61 / $17.51 / $28.01	Professional	TC	$10.61	$17.51	$28.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $11.64 / $22.39	Professional		$8.31	$11.64	$22.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $33.94 / $59.39	Professional		$17.17	$33.94	$59.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $13.12 / $22.11	Professional	26	$9.30	$13.12	$22.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $7.83 / $17.23 / $37.86	Professional	TC	$7.83	$17.23	$37.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $22.64 / $39.51	Professional		$17.54	$22.64	$39.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.31 / $11.36 / $18.37	Professional	26	$9.31	$11.36	$18.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.79 / $10.87 / $23.76	Professional	TC	$7.79	$10.87	$23.76