Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.48 / $15.14 / $20.89	Facility	26	$11.48	$15.14	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $109.65	Professional		$33.11	$45.71	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $38.02	Professional	26	$10.00	$16.98	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $28.84 / $57.54	Professional	TC	$22.91	$28.84	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $74.13	Professional		$28.18	$33.88	$74.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $13.49 / $23.99	Professional	26	$8.71	$13.49	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $28.84 / $43.65	Professional	TC	$25.12	$28.84	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $75.86	Professional		$32.36	$47.86	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.98 / $26.30	Professional	26	$12.02	$16.98	$26.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $48.98	Professional	TC	$20.42	$30.90	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $52.48	Professional		$12.59	$32.36	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $91.20	Professional		$33.11	$50.12	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $26.92	Professional	26	$10.72	$16.60	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $64.57	Professional	TC	$23.99	$33.11	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $67.61	Professional		$35.48	$42.66	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $14.45 / $23.44	Professional	26	$11.75	$14.45	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.54 / $45.71	Professional	TC	$23.44	$27.54	$45.71