Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.22 / $13.49 / $16.60	Facility	26	$11.22	$13.49	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $107.15	Professional		$28.18	$39.81	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $32.36	Professional	26	$7.94	$12.88	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $48.98	Professional	TC	$19.05	$25.12	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $50.12	Professional		$25.12	$27.54	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.47 / $19.05	Professional	26	$6.61	$10.47	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.99 / $43.65	Professional	TC	$17.38	$23.99	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $63.10	Professional		$33.11	$38.02	$63.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $22.91	Professional	26	$11.22	$14.45	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $22.91 / $41.69	Professional	TC	$22.39	$22.91	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $26.30 / $42.66	Professional		$10.23	$26.30	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $72.44	Professional		$30.90	$50.12	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $23.99	Professional	26	$8.91	$13.80	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $31.62 / $57.54	Professional	TC	$19.95	$31.62	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $60.26	Professional		$29.51	$36.31	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.48 / $19.05	Professional	26	$9.55	$11.48	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.12 / $40.74	Professional	TC	$19.95	$25.12	$40.74