Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.05 / $22.05 / $37.18	Facility	26	$22.05	$22.05	$37.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $45.71 / $98.14	Professional		$39.72	$45.71	$98.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.93 / $22.60 / $43.00	Professional	26	$20.93	$22.60	$43.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $20.44 / $31.60	Professional	TC	$17.91	$20.44	$31.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $34.29 / $64.56	Professional		$31.73	$34.29	$64.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.60 / $26.40 / $33.00	Professional	26	$17.60	$26.40	$33.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.68 / $14.68 / $14.68	Professional	TC	$14.68	$14.68	$14.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $79.86 / $123.78	Professional		$42.75	$79.86	$123.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $32.83 / $45.40	Professional	26	$26.26	$32.83	$45.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $47.03 / $74.77	Professional	TC	$16.30	$47.03	$74.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $27.19 / $51.30	Professional		$19.27	$27.19	$51.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.84 / $145.08	Professional		$42.66	$75.84	$145.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.06 / $31.23 / $53.10	Professional	26	$23.06	$31.23	$53.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.18 / $39.99 / $84.76	Professional	TC	$19.18	$39.99	$84.76
United Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $50.41 / $99.52	Professional		$41.06	$50.41	$99.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.89 / $26.69 / $44.84	Professional	26	$21.89	$26.69	$44.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.28 / $23.83 / $60.12	Professional	TC	$18.28	$23.83	$60.12