Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.43 / $7.43 / $12.54	Facility	26	$7.43	$7.43	$12.54
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.82 / $26.26 / $66.76	Facility	TC	$18.82	$26.26	$66.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $26.85 / $33.31	Professional		$22.53	$26.85	$33.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $7.72 / $9.53	Professional	26	$7.01	$7.72	$9.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $19.00 / $23.78	Professional	TC	$16.82	$19.00	$23.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.94 / $6.06 / $13.25	Professional	26	$5.94	$6.06	$13.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $34.06 / $51.09	Professional		$25.05	$34.06	$51.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $10.83 / $14.94	Professional	26	$8.19	$10.83	$14.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.84 / $23.22 / $34.83	Professional	TC	$16.84	$23.22	$34.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $23.09 / $35.99	Professional		$7.88	$23.09	$35.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $33.08 / $59.42	Professional		$25.90	$33.08	$59.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.64 / $10.00 / $15.90	Professional	26	$7.64	$10.00	$15.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $23.24 / $41.88	Professional	TC	$18.23	$23.24	$41.88
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $29.59 / $50.30	Professional		$25.74	$29.59	$50.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $9.06 / $14.90	Professional	26	$7.36	$9.06	$14.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $20.76 / $35.58	Professional	TC	$17.73	$20.76	$35.58