Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $16.98 / $22.91	Facility	26	$12.02	$16.98	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $46.77 / $107.15	Professional		$23.99	$46.77	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $40.74	Professional	26	$10.96	$18.20	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $66.07	Professional	TC	$22.91	$34.67	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $54.95	Professional		$26.92	$33.11	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.47 / $19.95	Professional	26	$9.12	$10.47	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $41.69	Professional	TC	$20.89	$28.18	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $67.61	Professional		$37.15	$40.74	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.78 / $27.54	Professional	26	$14.13	$17.78	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $23.44 / $42.66	Professional	TC	$22.91	$23.44	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $52.48	Professional		$13.49	$32.36	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $93.33	Professional		$33.88	$52.48	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $28.18	Professional	26	$10.96	$16.98	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $34.67 / $67.61	Professional	TC	$23.44	$34.67	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $69.18	Professional		$34.67	$41.69	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.13 / $23.44	Professional	26	$11.75	$14.13	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $45.71	Professional	TC	$22.39	$27.54	$45.71