Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.33 / $13.33 / $17.02	Facility	26	$13.33	$13.33	$17.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $59.53 / $107.38	Professional		$50.95	$59.53	$107.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $14.96 / $27.00	Professional	26	$12.61	$14.96	$27.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $44.99 / $56.03	Professional	TC	$36.97	$44.99	$56.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $48.65 / $83.70	Professional		$44.64	$48.65	$83.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $14.25 / $25.52	Professional	26	$10.64	$14.25	$25.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $63.85 / $101.52	Professional		$55.80	$63.85	$101.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $23.30 / $32.15	Professional	26	$18.64	$23.30	$32.15
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.60 / $40.54 / $64.88	Professional	TC	$38.60	$40.54	$64.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $47.43 / $72.54	Professional		$13.97	$47.43	$72.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $76.75 / $129.46	Professional		$55.38	$76.75	$129.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $20.98 / $37.57	Professional	26	$13.81	$20.98	$37.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $54.79 / $96.44	Professional	TC	$40.54	$54.79	$96.44
United Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $64.93 / $110.78	Professional		$52.54	$64.93	$110.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $18.48 / $28.35	Professional	26	$13.97	$18.48	$28.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.96 / $46.63 / $77.04	Professional	TC	$37.96	$46.63	$77.04