Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $15.14 / $19.50	Facility	26	$10.00	$15.14	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $91.20	Professional		$33.11	$45.71	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $15.85 / $33.11	Professional	26	$8.91	$15.85	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $32.36 / $64.57	Professional	TC	$22.91	$32.36	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $54.95	Professional		$25.12	$32.36	$54.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.22 / $18.20	Professional	26	$8.32	$11.22	$18.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $30.90	Professional	TC	$21.88	$25.70	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $77.62	Professional		$41.69	$46.77	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $23.44	Professional	26	$11.22	$14.45	$23.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $32.36 / $57.54	Professional	TC	$29.51	$32.36	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.11 / $50.12	Professional		$11.48	$33.11	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $95.50	Professional		$33.11	$54.95	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $23.99	Professional	26	$9.12	$14.13	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $40.74 / $70.79	Professional	TC	$24.55	$40.74	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $70.79	Professional		$36.31	$45.71	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.02 / $19.95	Professional	26	$9.77	$12.02	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.11 / $51.29	Professional	TC	$25.70	$33.11	$51.29