Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.91 / $24.97 / $32.10	Facility	26	$21.91	$24.97	$32.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $70.26 / $120.47	Professional		$43.77	$70.26	$120.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $22.24 / $45.00	Professional	26	$18.01	$22.24	$45.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $25.02 / $64.31	Professional	TC	$20.74	$25.02	$64.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $37.67 / $54.23	Professional		$30.99	$37.67	$54.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $19.89 / $32.79	Professional	26	$17.39	$19.89	$32.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $32.02 / $32.02 / $36.60	Professional	TC	$32.02	$32.02	$36.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $67.50 / $101.09	Professional		$49.08	$67.50	$101.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $19.05 / $29.52	Professional	26	$17.85	$19.05	$29.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.23 / $48.45 / $68.79	Professional	TC	$31.23	$48.45	$68.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $29.65 / $57.95	Professional		$22.71	$29.65	$57.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.65 / $26.65 / $26.65	Facility	26	$26.65	$26.65	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $94.93 / $159.25	Professional		$48.27	$94.93	$159.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.75 / $27.08 / $46.51	Professional	26	$19.75	$27.08	$46.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $64.44 / $123.78	Professional	TC	$24.10	$64.44	$123.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $62.11 / $120.41	Professional		$43.01	$62.11	$120.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $24.50 / $40.42	Professional	26	$18.78	$24.50	$40.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.07 / $36.65 / $116.57	Professional	TC	$21.07	$36.65	$116.57