Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.46 / $7.46 / $13.08	Facility	26	$7.46	$7.46	$13.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $29.82 / $37.42	Professional		$25.02	$29.82	$37.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.78 / $14.96	Professional	26	$7.00	$7.78	$14.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.09 / $27.85	Professional	TC	$18.53	$22.09	$27.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $6.22 / $11.61	Professional	26	$6.19	$6.22	$11.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $29.62 / $47.39	Professional		$26.22	$29.62	$47.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.40 / $15.73	Professional	26	$9.11	$11.40	$15.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $18.22 / $29.15	Professional	TC	$17.22	$18.22	$29.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $27.02 / $40.86	Professional		$8.22	$27.02	$40.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $39.07 / $66.94	Professional		$28.47	$39.07	$66.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $10.68 / $18.27	Professional	26	$7.71	$10.68	$18.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.72 / $27.97 / $49.75	Professional	TC	$19.72	$27.97	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $32.47 / $55.22	Professional		$26.31	$32.47	$55.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $9.41 / $15.17	Professional	26	$8.03	$9.41	$15.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $23.29 / $38.54	Professional	TC	$17.98	$23.29	$38.54