Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.95 / $10.95 / $18.47	Facility	26	$10.95	$10.95	$18.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $41.46 / $50.31	Professional		$34.04	$41.46	$50.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $10.95 / $13.94	Professional	26	$9.41	$10.95	$13.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.47 / $30.11 / $36.36	Professional	TC	$24.47	$30.11	$36.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $35.02 / $35.02	Professional		$31.50	$35.02	$35.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $10.93 / $20.37	Professional	26	$8.69	$10.93	$20.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $46.20 / $67.70	Professional		$40.31	$46.20	$67.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.73	Professional	26	$11.28	$14.60	$20.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $31.60 / $48.98	Professional	TC	$29.19	$31.60	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $35.50 / $54.42	Professional		$11.61	$35.50	$54.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $56.68 / $94.61	Professional		$39.47	$56.68	$94.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $14.30 / $24.26	Professional	26	$10.32	$14.30	$24.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.16 / $41.85 / $69.79	Professional	TC	$29.16	$41.85	$69.79
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $45.30 / $77.43	Professional		$37.11	$45.30	$77.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $12.63 / $21.47	Professional	26	$10.36	$12.63	$21.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.38 / $33.69 / $54.26	Professional	TC	$26.38	$33.69	$54.26