Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $13.80 / $17.78	Facility	26	$10.23	$13.80	$17.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.91 / $34.67 / $346.74	Facility	TC	$22.91	$34.67	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $109.65	Professional		$28.84	$41.69	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.98 / $38.02	Professional	26	$9.55	$16.98	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $57.54	Professional	TC	$19.95	$29.51	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $48.98	Professional		$21.88	$26.92	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.77 / $18.20	Professional	26	$8.32	$9.77	$18.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $24.55 / $44.67	Professional	TC	$19.05	$24.55	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $50.12	Professional		$30.20	$30.90	$50.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $17.78	Professional	26	$11.22	$11.22	$17.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.95 / $33.11	Professional	TC	$19.50	$19.95	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $28.84 / $45.71	Professional		$11.22	$28.84	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $70.79	Professional		$31.62	$38.02	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.45 / $23.44	Professional	26	$9.33	$14.45	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.84 / $52.48	Professional	TC	$20.42	$28.84	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $58.88	Professional		$30.20	$36.31	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.59 / $20.42	Professional	26	$10.00	$12.59	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $23.99 / $38.90	Professional	TC	$19.95	$23.99	$38.90