Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $20.05	Facility	26	$11.90	$11.90	$20.05
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.83 / $36.71 / $92.65	Facility	TC	$26.83	$36.71	$92.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $38.72 / $48.90	Professional		$34.49	$38.72	$48.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.10 / $12.36 / $16.43	Professional	26	$11.10	$12.36	$16.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $26.83 / $33.78	Professional	TC	$22.72	$26.83	$33.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $43.20	Professional		$43.20	$43.20	$43.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $9.61 / $17.80	Professional	26	$9.49	$9.61	$17.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $36.29 / $56.24	Professional		$35.70	$36.29	$56.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $13.00 / $20.14	Professional	26	$13.00	$13.00	$20.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $23.29 / $36.09	Professional	TC	$22.47	$23.29	$36.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $33.38 / $52.07	Professional		$12.46	$33.38	$52.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.65 / $14.65 / $14.65	Facility	26	$14.65	$14.65	$14.65
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $33.92 / $33.92 / $33.92	Facility	TC	$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $47.87 / $85.14	Professional		$36.28	$47.87	$85.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $16.18 / $25.23	Professional	26	$12.21	$16.18	$25.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.41 / $30.82 / $58.80	Professional	TC	$24.41	$30.82	$58.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $42.22 / $74.01	Professional		$35.89	$42.22	$74.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $14.70 / $24.00	Professional	26	$12.25	$14.70	$24.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.31 / $28.51 / $48.46	Professional	TC	$23.31	$28.51	$48.46