Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $32.36 / $39.81	Facility	26	$26.30	$32.36	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $151.36	Professional		$38.02	$64.57	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $33.11 / $83.18	Professional	26	$19.95	$33.11	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $21.88 / $47.86	Professional	TC	$16.98	$21.88	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $64.57	Professional		$31.62	$35.48	$64.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $23.44 / $30.90	Professional	26	$18.62	$23.44	$30.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $15.49 / $28.84	Professional	TC	$14.13	$15.49	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $128.82	Professional		$42.66	$79.43	$128.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $33.11 / $52.48	Professional	26	$26.30	$33.11	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $46.77 / $85.11	Professional	TC	$16.22	$46.77	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $52.48	Professional		$19.95	$27.54	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $128.82	Professional		$38.02	$66.07	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $30.20 / $50.12	Professional	26	$19.95	$30.20	$50.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $79.43	Professional	TC	$18.20	$33.11	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $100.00	Professional		$40.74	$51.29	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $26.92 / $40.74	Professional	26	$21.38	$26.92	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.55 / $64.57	Professional	TC	$18.62	$24.55	$64.57