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 / $22.91	Facility	26	$11.48	$15.14	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $158.49	Professional		$42.66	$74.13	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.42 / $53.70	Professional	26	$10.96	$20.42	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $85.11	Professional	TC	$32.36	$51.29	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $70.79	Professional		$33.11	$39.81	$70.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $10.72 / $20.42	Professional	26	$9.55	$10.72	$20.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.31 / $56.23	Professional	TC	$26.30	$36.31	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $95.50	Professional		$47.86	$61.66	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $30.90	Professional	26	$15.14	$19.95	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $41.69 / $64.57	Professional	TC	$32.36	$41.69	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $43.65 / $64.57	Professional		$13.49	$43.65	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $109.65	Professional		$42.66	$72.44	$109.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.20 / $32.36	Professional	26	$10.96	$18.20	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $46.77 / $85.11	Professional	TC	$31.62	$46.77	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $85.11	Professional		$43.65	$53.70	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $15.85 / $23.99	Professional	26	$12.02	$15.85	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $37.15 / $60.26	Professional	TC	$30.20	$37.15	$60.26