Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.38 / $8.38 / $10.71	Facility	26	$8.38	$8.38	$10.71
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.20 / $72.89 / $361.02	Facility	TC	$21.20	$72.89	$361.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $29.58 / $40.84	Professional		$24.02	$29.58	$40.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $8.76 / $16.87	Professional	26	$7.89	$8.76	$16.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.47 / $21.20 / $26.74	Professional	TC	$17.47	$21.20	$26.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $24.88 / $24.88	Professional		$24.88	$24.88	$24.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $7.68 / $12.84	Professional	26	$6.69	$7.68	$12.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $36.72 / $55.09	Professional		$27.01	$36.72	$55.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $12.21 / $16.84	Professional	26	$9.15	$12.21	$16.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.56 / $24.52 / $36.78	Professional	TC	$15.56	$24.52	$36.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $24.90 / $38.99	Professional		$8.78	$24.90	$38.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.36 / $10.36 / $10.36	Facility	26	$10.36	$10.36	$10.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.15 / $27.15 / $27.15	Facility	TC	$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $35.21 / $64.15	Professional		$28.23	$35.21	$64.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.22 / $17.88	Professional	26	$8.61	$11.22	$17.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $24.29 / $45.26	Professional	TC	$19.23	$24.29	$45.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $32.11 / $54.60	Professional		$27.30	$32.11	$54.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.32 / $16.80	Professional	26	$8.36	$10.32	$16.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $22.38 / $38.04	Professional	TC	$18.42	$22.38	$38.04