Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.28 / $16.27 / $21.78	Facility	26	$14.28	$16.27	$21.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $48.98 / $60.43	Professional		$43.30	$48.98	$60.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.81 / $28.00	Professional	26	$13.49	$14.81	$28.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.75 / $34.43 / $46.22	Professional	TC	$28.75	$34.43	$46.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $41.16 / $47.21	Professional		$40.13	$41.16	$47.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $14.65 / $20.68	Professional	26	$11.34	$14.65	$20.68
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $50.76 / $50.76 / $50.76	Professional	TC	$50.76	$50.76	$50.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $52.95 / $84.72	Professional		$46.86	$52.95	$84.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.35 / $21.00 / $28.98	Professional	26	$16.35	$21.00	$28.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $31.95 / $51.12	Professional	TC	$30.64	$31.95	$51.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $41.20 / $63.73	Professional		$15.13	$41.20	$63.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.71 / $17.71 / $17.71	Facility	26	$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $65.94 / $109.44	Professional		$46.20	$65.94	$109.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $20.19 / $33.09	Professional	26	$14.56	$20.19	$33.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $44.46 / $75.45	Professional	TC	$31.95	$44.46	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $53.11 / $93.55	Professional		$44.37	$53.11	$93.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $17.57 / $28.63	Professional	26	$14.51	$17.57	$28.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $37.17 / $63.67	Professional	TC	$30.06	$37.17	$63.67