Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.25 / $11.25 / $18.98	Facility	26	$11.25	$11.25	$18.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $39.65 / $59.00	Professional		$34.78	$39.65	$59.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.75 / $11.44 / $23.00	Professional	26	$9.75	$11.44	$23.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.23 / $28.17 / $45.28	Professional	TC	$24.23	$28.17	$45.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $32.95 / $32.95	Professional		$29.70	$32.95	$32.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $13.47 / $16.85	Professional	26	$8.98	$13.47	$16.85
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.04 / $40.04 / $40.04	Professional	TC	$40.04	$40.04	$40.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $38.49 / $59.65	Professional		$34.39	$38.49	$59.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $14.10 / $20.83	Professional	26	$10.84	$14.10	$20.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $24.39 / $38.43	Professional	TC	$23.29	$24.39	$38.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $31.87 / $49.31	Professional		$11.79	$31.87	$49.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.86 / $13.86 / $13.86	Facility	26	$13.86	$13.86	$13.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $48.54 / $86.49	Professional		$36.58	$48.54	$86.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $14.09 / $23.33	Professional	26	$10.61	$14.09	$23.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $34.08 / $60.58	Professional	TC	$25.52	$34.08	$60.58
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $41.69 / $72.01	Professional		$34.92	$41.69	$72.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $12.99 / $22.08	Professional	26	$10.44	$12.99	$22.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.71 / $30.53 / $54.55	Professional	TC	$24.71	$30.53	$54.55