Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $7.41 / $13.18	Facility	26	$7.41	$7.41	$13.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $39.81 / $67.61	Facility	TC	$18.62	$39.81	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $57.54	Professional		$19.05	$26.92	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.13 / $25.12	Professional	26	$6.03	$8.13	$25.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $19.05 / $33.11	Professional	TC	$15.49	$19.05	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $25.70	Professional		$19.05	$21.88	$25.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.51 / $14.79	Professional	26	$6.03	$8.51	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $54.95	Professional		$25.12	$33.88	$54.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.72 / $16.60	Professional	26	$8.13	$10.72	$16.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $37.15	Professional	TC	$16.98	$23.44	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $63.10	Professional		$21.88	$34.67	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.72 / $16.98	Professional	26	$6.92	$10.72	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $24.55 / $45.71	Professional	TC	$17.38	$24.55	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $47.86	Professional		$25.12	$29.51	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.12 / $14.79	Professional	26	$7.41	$9.12	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.89 / $33.11	Professional	TC	$17.38	$20.89	$33.11