Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $12.88 / $17.38	Facility	26	$10.00	$12.88	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $100.00	Professional		$30.90	$51.29	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $15.85 / $28.84	Professional	26	$8.71	$15.85	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $28.84 / $58.88	Professional	TC	$21.88	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $51.29	Professional		$30.90	$42.66	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $19.95	Professional	26	$7.94	$10.00	$19.95
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $27.54 / $47.86	Professional	TC	$22.39	$27.54	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $57.54	Professional		$31.62	$35.48	$57.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $20.42	Professional	26	$10.00	$12.88	$20.42
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $22.39 / $39.81	Professional	TC	$21.88	$22.39	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $31.62 / $48.98	Professional		$11.22	$31.62	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $81.28	Professional		$33.88	$51.29	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.49 / $23.44	Professional	26	$8.91	$13.49	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $61.66	Professional	TC	$22.39	$33.11	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $61.66	Professional		$30.90	$38.02	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.22 / $18.62	Professional	26	$9.12	$11.22	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $26.30 / $43.65	Professional	TC	$21.88	$26.30	$43.65