Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.30 / $10.73 / $14.08	Facility	26	$10.30	$10.73	$14.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.97 / $29.59 / $393.76	Facility	TC	$22.97	$29.59	$393.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $33.35 / $45.96	Professional		$29.35	$33.35	$45.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $10.82 / $23.82	Professional	26	$9.80	$10.82	$23.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $23.69 / $38.77	Professional	TC	$19.89	$23.69	$38.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.72 / $48.65	Professional		$26.17	$26.72	$48.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $10.28 / $15.71	Professional	26	$8.22	$10.28	$15.71
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $31.21 / $35.68 / $35.68	Professional	TC	$31.21	$35.68	$35.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $31.12 / $48.23	Professional		$30.51	$31.12	$48.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $11.14 / $17.26	Professional	26	$11.14	$11.14	$17.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $19.98 / $30.98	Professional	TC	$19.30	$19.98	$30.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $27.62 / $43.42	Professional		$10.79	$27.62	$43.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.08 / $29.08 / $29.08	Facility	TC	$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $40.92 / $72.89	Professional		$32.40	$40.92	$72.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $13.62 / $21.47	Professional	26	$10.30	$13.62	$21.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $26.46 / $50.68	Professional	TC	$20.96	$26.46	$50.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $36.53 / $65.19	Professional		$30.93	$36.53	$65.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $12.57 / $20.69	Professional	26	$10.61	$12.57	$20.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $23.80 / $41.72	Professional	TC	$20.01	$23.80	$41.72