Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.98 / $13.98 / $19.80	Facility	26	$13.98	$13.98	$19.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $39.67 / $61.46	Professional		$34.00	$39.67	$61.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.22 / $14.39 / $19.92	Professional	26	$13.22	$14.39	$19.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $25.17 / $47.07	Professional	TC	$20.53	$25.17	$47.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $29.89 / $29.89	Professional		$29.89	$29.89	$29.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.23 / $11.16 / $19.96	Professional	26	$5.23	$11.16	$19.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $63.90 / $96.18	Professional		$43.10	$63.90	$96.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $21.00 / $28.98	Professional	26	$16.55	$21.00	$28.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.53 / $42.90 / $66.48	Professional	TC	$26.53	$42.90	$66.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $29.28 / $50.44	Professional		$14.82	$29.28	$50.44
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 $37.54 / $66.22 / $112.82	Professional		$37.54	$66.22	$112.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.46 / $19.98 / $33.43	Professional	26	$14.46	$19.98	$33.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.27 / $45.08 / $83.30	Professional	TC	$23.27	$45.08	$83.30
United Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $51.18 / $87.79	Professional		$35.11	$51.18	$87.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $17.20 / $28.39	Professional	26	$14.31	$17.20	$28.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.11 / $61.25	Professional	TC	$20.89	$32.11	$61.25