Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $17.38 / $23.44	Facility	26	$14.45	$17.38	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $125.89	Professional		$33.88	$50.12	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.95 / $42.66	Professional	26	$10.96	$19.95	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $61.66	Professional	TC	$21.88	$30.20	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $81.28	Professional		$30.90	$42.66	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $20.89	Professional	26	$9.77	$11.22	$20.89
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $40.74 / $45.71	Professional	TC	$30.90	$40.74	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $70.79	Professional		$36.31	$43.65	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $17.78 / $27.54	Professional	26	$13.80	$17.78	$27.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $25.70 / $43.65	Professional	TC	$21.88	$25.70	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $35.48 / $56.23	Professional		$13.18	$35.48	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $91.20	Professional		$35.48	$51.29	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.60 / $28.18	Professional	26	$11.22	$16.60	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $63.10	Professional	TC	$22.91	$35.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $70.79	Professional		$34.67	$43.65	$70.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $14.79 / $23.99	Professional	26	$12.30	$14.79	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $45.71	Professional	TC	$21.38	$28.84	$45.71