Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.58 / $13.50 / $16.23	Facility	26	$11.58	$13.50	$16.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $39.67 / $69.79	Professional		$35.09	$39.67	$69.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $12.03 / $18.26	Professional	26	$10.86	$12.03	$18.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $26.92 / $55.90	Professional	TC	$23.26	$26.92	$55.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $32.06 / $32.06	Professional		$32.06	$32.06	$32.06
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $9.35 / $13.86	Professional	26	$6.84	$9.35	$13.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $47.71 / $71.56	Professional		$32.53	$47.71	$71.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $17.13 / $23.63	Professional	26	$12.10	$17.13	$23.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.60 / $30.58 / $45.87	Professional	TC	$20.60	$30.58	$45.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $32.64 / $50.51	Professional		$12.13	$32.64	$50.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $46.15 / $84.31	Professional		$36.52	$46.15	$84.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $15.79 / $24.73	Professional	26	$11.88	$15.79	$24.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $30.82 / $58.12	Professional	TC	$24.41	$30.82	$58.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $41.84 / $73.95	Professional		$35.84	$41.84	$73.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $14.46 / $23.36	Professional	26	$11.66	$14.46	$23.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $27.65 / $48.46	Professional	TC	$23.31	$27.65	$48.46