Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.95 / $15.90 / $29.06	Facility	26	$13.95	$15.90	$29.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $35.90 / $48.00	Professional		$17.14	$35.90	$48.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $14.51 / $27.98	Professional	26	$7.48	$14.51	$27.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $23.86 / $30.07	Professional	TC	$10.11	$23.86	$30.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $38.83 / $46.60	Professional		$38.83	$38.83	$46.60
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.11 / $11.22 / $20.88	Professional	26	$11.11	$11.22	$20.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $24.30 / $38.88	Professional		$19.21	$24.30	$38.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $10.90 / $16.89	Professional	26	$8.60	$10.90	$16.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.61 / $13.40 / $23.30	Professional	TC	$10.61	$13.40	$23.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $29.89 / $50.48	Professional		$14.62	$29.89	$50.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $35.61 / $79.84	Professional		$22.86	$35.61	$79.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $13.55 / $27.98	Professional	26	$8.78	$13.55	$27.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.96 / $22.84 / $51.10	Professional	TC	$12.96	$22.84	$51.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $36.78 / $69.87	Professional		$18.05	$36.78	$69.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $14.36 / $25.98	Professional	26	$7.92	$14.36	$25.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.13 / $23.05 / $43.89	Professional	TC	$10.13	$23.05	$43.89