Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.74 / $8.74 / $16.69	Facility	26	$8.74	$8.74	$16.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $31.30 / $38.46	Professional		$27.55	$31.30	$38.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.11 / $9.02 / $13.07	Professional	26	$8.11	$9.02	$13.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.63 / $22.18 / $27.11	Professional	TC	$18.63	$22.18	$27.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $26.24 / $28.83	Professional		$26.24	$26.24	$28.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $8.71 / $13.07	Professional	26	$6.97	$8.71	$13.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.00 / $32.00 / $32.95	Professional	TC	$32.00	$32.00	$32.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $35.19 / $54.54	Professional		$30.78	$35.19	$54.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $13.20 / $18.21	Professional	26	$10.50	$13.20	$18.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.43 / $21.99 / $36.00	Professional	TC	$20.43	$21.99	$36.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $23.51 / $40.57	Professional		$9.25	$23.51	$40.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $42.25 / $71.09	Professional		$29.74	$42.25	$71.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $12.50 / $21.25	Professional	26	$8.97	$12.50	$21.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.19 / $30.10 / $49.82	Professional	TC	$21.19	$30.10	$49.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $34.01 / $59.24	Professional		$27.92	$34.01	$59.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $10.98 / $17.55	Professional	26	$8.89	$10.98	$17.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $23.07 / $38.95	Professional	TC	$19.29	$23.07	$38.95