Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.78 / $13.93 / $20.09	Facility	26	$13.78	$13.93	$20.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $42.13 / $79.51	Professional		$35.86	$42.13	$79.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $13.93 / $22.68	Professional	26	$7.70	$13.93	$22.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.22 / $28.04 / $71.73	Professional	TC	$23.22	$28.04	$71.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $56.75 / $56.75	Professional		$56.75	$56.75	$56.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $11.39 / $20.63	Professional	26	$11.00	$11.39	$20.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $65.90 / $98.57	Professional		$51.49	$65.90	$98.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $11.40 / $17.67	Professional	26	$6.89	$11.40	$17.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.60 / $54.50 / $84.47	Professional	TC	$43.60	$54.50	$84.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $29.89 / $50.26	Professional		$14.44	$29.89	$50.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.93 / $16.93 / $16.93	Facility	26	$16.93	$16.93	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $68.61 / $142.84	Professional		$39.47	$68.61	$142.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.10 / $14.38 / $29.82	Professional	26	$9.10	$14.38	$29.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.64 / $56.19 / $117.98	Professional	TC	$25.64	$56.19	$117.98
United Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $57.18 / $101.66	Professional		$38.39	$57.18	$101.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $14.83 / $25.41	Professional	26	$8.33	$14.83	$25.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.36 / $39.79 / $90.73	Professional	TC	$24.36	$39.79	$90.73