Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.20 / $12.20 / $20.57	Facility	26	$12.20	$12.20	$20.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.94 / $33.04 / $89.56	Facility	TC	$25.94	$33.04	$89.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $38.24 / $48.16	Professional		$34.40	$38.24	$48.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $12.58 / $15.49	Professional	26	$11.40	$12.58	$15.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.33 / $25.94 / $32.67	Professional	TC	$22.33	$25.94	$32.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $32.95 / $36.46	Professional		$30.38	$32.95	$36.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $9.85 / $9.85	Professional	26	$9.74	$9.85	$9.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $36.49 / $56.55	Professional		$35.72	$36.49	$56.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.53 / $13.53 / $20.79	Professional	26	$13.53	$13.53	$20.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.15 / $22.96 / $35.58	Professional	TC	$22.15	$22.96	$35.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $28.39 / $51.27	Professional		$12.78	$28.39	$51.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $47.27 / $85.18	Professional		$35.99	$47.27	$85.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $16.48 / $25.85	Professional	26	$12.50	$16.48	$25.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.05 / $30.38 / $57.44	Professional	TC	$24.05	$30.38	$57.44
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $42.48 / $75.04	Professional		$36.79	$42.48	$75.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.45 / $15.25 / $25.67	Professional	26	$12.45	$15.25	$25.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $27.79 / $47.71	Professional	TC	$22.97	$27.79	$47.71