Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.95 / $15.90 / $17.82	Facility	26	$13.95	$15.90	$17.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $57.44 / $91.78	Professional		$50.72	$57.44	$91.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.64 / $21.82	Professional	26	$13.18	$14.64	$21.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $41.65 / $58.11	Professional	TC	$37.11	$41.65	$58.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $15.59 / $22.77	Professional	26	$11.11	$15.59	$22.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $64.45 / $64.45 / $64.45	Professional	TC	$64.45	$64.45	$64.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $69.53 / $95.95	Professional		$51.01	$69.53	$95.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $20.77 / $28.66	Professional	26	$15.74	$20.77	$28.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.28 / $48.76 / $67.28	Professional	TC	$35.28	$48.76	$67.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $49.14 / $72.58	Professional		$14.62	$49.14	$72.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $67.59 / $115.55	Professional		$52.44	$67.59	$115.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $19.18 / $29.90	Professional	26	$14.32	$19.18	$29.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.51 / $49.10 / $81.81	Professional	TC	$38.51	$49.10	$81.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $60.26 / $104.82	Professional		$51.34	$60.26	$104.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $17.43 / $29.23	Professional	26	$13.92	$17.43	$29.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $43.67 / $76.19	Professional	TC	$37.17	$43.67	$76.19