Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.85 / $12.85 / $23.39	Facility	26	$12.85	$12.85	$23.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $40.92 / $50.08	Professional		$33.67	$40.92	$50.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $12.98 / $19.23	Professional	26	$11.50	$12.98	$19.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $27.64 / $33.78	Professional	TC	$22.47	$27.64	$33.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $36.52 / $63.23	Professional		$31.61	$36.52	$63.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $15.38 / $19.23	Professional	26	$10.25	$15.38	$19.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $40.04 / $40.04	Professional	TC	$40.04	$40.04	$40.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $44.42 / $71.06	Professional		$39.52	$44.42	$71.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $17.80 / $25.27	Professional	26	$14.24	$17.80	$25.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.25 / $26.62 / $43.65	Professional	TC	$25.25	$26.62	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $33.38 / $53.35	Professional		$13.46	$33.38	$53.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $55.07 / $91.41	Professional		$38.90	$55.07	$91.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $17.76 / $28.75	Professional	26	$12.38	$17.76	$28.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.97 / $36.90 / $60.58	Professional	TC	$25.97	$36.90	$60.58
United Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $43.67 / $76.63	Professional		$36.25	$43.67	$76.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.16 / $25.76	Professional	26	$12.59	$15.16	$25.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $28.99 / $48.96	Professional	TC	$24.23	$28.99	$48.96