Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $9.55 / $12.88	Facility	26	$7.08	$9.55	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $58.88	Professional		$19.05	$25.70	$58.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.47 / $25.70	Professional	26	$6.03	$10.47	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $15.85 / $29.51	Professional	TC	$12.02	$15.85	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $41.69	Professional		$15.85	$18.62	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.24 / $13.80	Professional	26	$5.75	$7.24	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $40.74	Professional		$21.88	$24.55	$40.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $15.49	Professional	26	$7.94	$10.00	$15.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $14.45 / $26.92	Professional	TC	$13.80	$14.45	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $18.20 / $30.20	Professional		$7.94	$18.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $56.23	Professional		$19.50	$30.90	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.00 / $17.38	Professional	26	$6.61	$10.00	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $20.89 / $37.15	Professional	TC	$13.80	$20.89	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $39.81	Professional		$20.42	$24.55	$39.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.32 / $13.49	Professional	26	$6.92	$8.32	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $16.22 / $26.92	Professional	TC	$13.18	$16.22	$26.92