Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.68 / $9.68 / $16.32	Facility	26	$9.68	$9.68	$16.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $37.67 / $46.87	Professional		$32.25	$37.67	$46.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $9.98 / $13.72	Professional	26	$8.97	$9.98	$13.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $27.69 / $34.52	Professional	TC	$23.28	$27.69	$34.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.78 / $14.78 / $14.78	Professional	26	$14.78	$14.78	$14.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $39.34 / $62.94	Professional		$35.01	$39.34	$62.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.14	Professional	26	$11.28	$14.60	$20.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $24.74 / $39.58	Professional	TC	$23.61	$24.74	$39.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $31.42 / $49.90	Professional		$10.14	$31.42	$49.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $47.92 / $85.11	Professional		$35.86	$47.92	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.79 / $23.00	Professional	26	$9.94	$13.79	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.23 / $33.69 / $61.73	Professional	TC	$25.23	$33.69	$61.73
United Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $40.42 / $68.70	Professional		$33.79	$40.42	$68.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $11.83 / $19.44	Professional	26	$9.82	$11.83	$19.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $28.75 / $49.07	Professional	TC	$23.38	$28.75	$49.07