Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.01 / $13.81	Facility	26	$10.00	$10.01	$13.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $35.90 / $63.72	Professional		$29.97	$35.90	$63.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.19 / $20.00	Professional	26	$8.22	$10.19	$20.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.10 / $26.12 / $32.65	Professional	TC	$22.10	$26.12	$32.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $39.75 / $56.78	Professional		$28.39	$39.75	$56.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $9.58 / $14.97	Professional	26	$7.99	$9.58	$14.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $35.13 / $56.20	Professional		$31.48	$35.13	$56.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.80 / $18.17	Professional	26	$10.02	$12.80	$18.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $22.33 / $35.72	Professional	TC	$21.38	$22.33	$35.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $30.46 / $46.14	Professional		$10.48	$30.46	$46.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $45.65 / $80.25	Professional		$33.64	$45.65	$80.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $13.22 / $23.06	Professional	26	$9.43	$13.22	$23.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.71 / $33.10 / $57.19	Professional	TC	$23.71	$33.10	$57.19
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.47 / $63.16	Professional		$31.62	$38.47	$63.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $11.64 / $20.05	Professional	26	$9.19	$11.64	$20.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.28 / $26.49 / $45.40	Professional	TC	$22.28	$26.49	$45.40