Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $16.22 / $21.38	Facility	26	$12.30	$16.22	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $169.82	Professional		$43.65	$83.18	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.38 / $52.48	Professional	26	$12.02	$21.38	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $52.48 / $89.13	Professional	TC	$32.36	$52.48	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $77.62	Professional		$33.11	$41.69	$77.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $22.39	Professional	26	$9.77	$11.22	$22.39
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $38.02 / $56.23	Professional	TC	$28.84	$38.02	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $154.88	Professional		$46.77	$74.13	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.95 / $30.90	Professional	26	$15.49	$19.95	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $47.86 / $128.82	Professional	TC	$30.90	$47.86	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $45.71 / $66.07	Professional		$13.80	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $112.20	Professional		$43.65	$72.44	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $18.62 / $33.11	Professional	26	$11.22	$18.62	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $87.10	Professional	TC	$32.36	$47.86	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $85.11	Professional		$43.65	$53.70	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $24.55	Professional	26	$12.59	$15.85	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $58.88	Professional	TC	$30.20	$37.15	$58.88