Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $19.50 / $24.55	Facility	26	$16.60	$19.50	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $162.18	Professional		$50.12	$70.79	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.89 / $48.98	Professional	26	$12.30	$20.89	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $89.13	Professional	TC	$36.31	$43.65	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $89.13	Professional		$46.77	$63.10	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.75 / $17.78	Professional	26	$11.22	$11.75	$17.78
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $30.20 / $44.67	Professional	TC	$29.51	$30.20	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $112.20	Professional		$51.29	$69.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $32.36	Professional	26	$15.85	$20.89	$32.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $48.98 / $77.62	Professional	TC	$35.48	$48.98	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $52.48 / $75.86	Professional		$15.85	$52.48	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $123.03	Professional		$45.71	$72.44	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $19.95 / $32.36	Professional	26	$12.88	$19.95	$32.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $51.29 / $93.33	Professional	TC	$37.15	$51.29	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $97.72	Professional		$50.12	$60.26	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.38 / $28.18	Professional	26	$13.80	$17.38	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $43.65 / $72.44	Professional	TC	$36.31	$43.65	$72.44