Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.27 / $16.27 / $27.21	Facility	26	$14.27	$16.27	$27.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $47.86 / $81.67	Professional		$41.17	$47.86	$81.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.68 / $28.34	Professional	26	$13.49	$14.68	$28.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $31.88 / $42.95	Professional	TC	$26.86	$31.88	$42.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $39.35 / $48.73	Professional		$37.39	$39.35	$48.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $14.24 / $21.98	Professional	26	$11.37	$14.24	$21.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $46.32 / $46.32	Professional	TC	$41.69	$46.32	$46.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $47.62 / $75.26	Professional		$41.75	$47.62	$75.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $21.00 / $28.98	Professional	26	$16.72	$21.00	$28.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.53 / $26.62 / $42.59	Professional	TC	$25.53	$26.62	$42.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $35.51 / $58.66	Professional		$14.95	$35.51	$58.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $60.52 / $103.95	Professional		$43.69	$60.52	$103.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.47 / $20.03 / $33.14	Professional	26	$14.47	$20.03	$33.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $39.95 / $70.75	Professional	TC	$28.39	$39.95	$70.75
United Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $52.11 / $86.17	Professional		$41.72	$52.11	$86.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $16.66 / $28.63	Professional	26	$14.24	$16.66	$28.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.18 / $32.84 / $56.29	Professional	TC	$27.18	$32.84	$56.29