Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.87 / $7.04 / $11.07	Facility	26	$5.87	$7.04	$11.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.30 / $24.37 / $70.48	Facility	TC	$20.30	$24.37	$70.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $28.19 / $56.00	Professional		$21.96	$28.19	$56.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.53 / $6.17 / $13.26	Professional	26	$5.53	$6.17	$13.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.37 / $21.59 / $43.00	Professional	TC	$18.37	$21.59	$43.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $25.99 / $52.18	Professional		$22.09	$25.99	$52.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $6.06 / $8.77	Professional	26	$4.68	$6.06	$8.77
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.43 / $31.12 / $31.12	Professional	TC	$21.43	$31.12	$31.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $25.25 / $39.13	Professional		$22.31	$25.25	$39.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.65 / $9.10 / $12.55	Professional	26	$6.65	$9.10	$12.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.31 / $16.14 / $25.67	Professional	TC	$15.31	$16.14	$25.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $23.16 / $33.79	Professional		$6.14	$23.16	$33.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $7.31 / $7.31	Facility	26	$7.31	$7.31	$7.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.73 / $25.73 / $25.73	Facility	TC	$25.73	$25.73	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $33.43 / $59.19	Professional		$23.71	$33.43	$59.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.02 / $8.39 / $13.79	Professional	26	$6.02	$8.39	$13.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $22.84 / $45.69	Professional	TC	$17.48	$22.84	$45.69
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $28.88 / $49.42	Professional		$23.46	$28.88	$49.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $7.06 / $11.76	Professional	26	$5.90	$7.06	$11.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $21.99 / $37.09	Professional	TC	$17.97	$21.99	$37.09