Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.19 / $13.90 / $20.57	Facility	26	$12.19	$13.90	$20.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $53.11 / $100.00	Professional		$44.68	$53.11	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.50 / $28.06	Professional	26	$12.02	$14.50	$28.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $38.40 / $67.09	Professional	TC	$32.22	$38.40	$67.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $41.41 / $48.71	Professional		$38.96	$41.41	$48.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.72 / $12.91 / $18.26	Professional	26	$9.72	$12.91	$18.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $43.48 / $54.81 / $56.23	Professional	TC	$43.48	$54.81	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $70.26 / $148.32	Professional		$47.02	$70.26	$148.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $20.10 / $27.73	Professional	26	$15.90	$20.10	$27.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.12 / $44.09 / $121.24	Professional	TC	$31.12	$44.09	$121.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $42.02 / $63.32	Professional		$12.78	$42.02	$63.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $64.93 / $108.97	Professional		$45.47	$64.93	$108.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.31 / $18.34 / $32.21	Professional	26	$12.31	$18.34	$32.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.01 / $47.18 / $80.88	Professional	TC	$34.01	$47.18	$80.88
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $51.96 / $91.40	Professional		$42.70	$51.96	$91.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $16.12 / $27.16	Professional	26	$13.14	$16.12	$27.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.86 / $37.18 / $63.21	Professional	TC	$30.86	$37.18	$63.21