Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.14 / $7.14 / $12.88	Facility	26	$7.14	$7.14	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $22.69 / $28.13	Professional		$18.73	$22.69	$28.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $7.41 / $13.47	Professional	26	$6.45	$7.41	$13.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $15.20 / $18.96	Professional	TC	$12.47	$15.20	$18.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.67 / $9.32 / $12.74	Professional	26	$5.67	$9.32	$12.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $24.43 / $39.08	Professional		$21.72	$24.43	$39.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $10.00 / $14.20	Professional	26	$7.90	$10.00	$14.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.72 / $14.43 / $23.30	Professional	TC	$13.72	$14.43	$23.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $17.72 / $28.46	Professional		$7.48	$17.72	$28.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $30.04 / $50.86	Professional		$21.48	$30.04	$50.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $9.97 / $16.57	Professional	26	$7.01	$9.97	$16.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.43 / $20.23 / $35.08	Professional	TC	$14.43	$20.23	$35.08
United Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $24.69 / $42.75	Professional		$20.79	$24.69	$42.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $8.80 / $14.24	Professional	26	$7.17	$8.80	$14.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $16.30 / $28.42	Professional	TC	$13.80	$16.30	$28.42