Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $9.75 / $14.58	Facility	26	$9.36	$9.75	$14.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $32.92 / $53.68	Professional		$28.50	$32.92	$53.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $9.76 / $14.13	Professional	26	$8.80	$9.76	$14.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.70 / $22.87 / $28.07	Professional	TC	$19.70	$22.87	$28.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $33.25 / $33.25	Professional		$33.25	$33.25	$33.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $11.20 / $14.01	Professional	26	$7.47	$11.20	$14.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $37.61 / $59.81	Professional		$32.83	$37.61	$59.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.17	Professional	26	$11.28	$14.60	$20.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.93 / $23.02 / $37.00	Professional	TC	$21.93	$23.02	$37.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $25.22 / $40.64	Professional		$9.81	$25.22	$40.64
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.30 / $75.16	Professional		$30.82	$44.30	$75.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $13.60 / $23.00	Professional	26	$9.63	$13.60	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $30.91 / $52.16	Professional	TC	$21.79	$30.91	$52.16
United Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $36.45 / $62.50	Professional		$30.58	$36.45	$62.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $11.76 / $19.23	Professional	26	$9.51	$11.76	$19.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $24.84 / $42.75	Professional	TC	$19.94	$24.84	$42.75