Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $11.41 / $18.14	Facility	26	$10.01	$11.41	$18.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $37.56 / $65.19	Professional		$32.31	$37.56	$65.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.27 / $23.13	Professional	26	$9.41	$10.27	$23.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $26.42 / $43.20	Professional	TC	$22.43	$26.42	$43.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $30.17 / $39.75	Professional		$28.39	$30.17	$39.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.98 / $14.97	Professional	26	$7.99	$9.98	$14.97
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.34 / $39.34 / $39.34	Professional	TC	$39.34	$39.34	$39.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $39.84 / $58.20	Professional		$35.49	$39.84	$58.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.14	Professional	26	$11.28	$14.60	$20.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.26 / $25.24 / $39.11	Professional	TC	$24.26	$25.24	$39.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $29.69 / $46.14	Professional		$10.48	$29.69	$46.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $49.38 / $80.20	Professional		$34.64	$49.38	$80.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $13.57 / $23.00	Professional	26	$10.13	$13.57	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $34.54 / $57.21	Professional	TC	$25.10	$34.54	$57.21
United Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $39.69 / $69.06	Professional		$33.13	$39.69	$69.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $11.98 / $21.44	Professional	26	$10.11	$11.98	$21.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.18 / $46.74	Professional	TC	$22.91	$27.18	$46.74