Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $17.78 / $24.55	Facility	26	$13.80	$17.78	$24.55
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $75.86 / $97.72	Facility	TC	$35.48	$75.86	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $93.33	Professional		$34.67	$42.66	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $38.02	Professional	26	$12.02	$14.13	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $44.67	Professional	TC	$20.89	$28.18	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $63.10	Professional		$38.02	$38.90	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $15.49 / $25.12	Professional	26	$15.49	$15.49	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $23.44 / $38.90	Professional	TC	$22.91	$23.44	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $91.20	Professional		$39.81	$46.77	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $19.95 / $31.62	Professional	26	$12.59	$19.95	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $34.67 / $64.57	Professional	TC	$24.55	$34.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $74.13	Professional		$38.02	$45.71	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.38 / $28.18	Professional	26	$14.13	$17.38	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.18 / $45.71	Professional	TC	$23.44	$28.18	$45.71