Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.19 / $15.19 / $19.39	Facility	26	$15.19	$15.19	$19.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $43.13 / $53.63	Professional		$34.54	$43.13	$53.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $15.75 / $19.48	Professional	26	$13.74	$15.75	$19.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.93 / $27.22 / $34.15	Professional	TC	$19.93	$27.22	$34.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $50.98 / $50.98	Professional		$50.98	$50.98	$50.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.13 / $15.16 / $21.66	Professional	26	$12.13	$15.16	$21.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $54.85 / $79.59	Professional		$41.39	$54.85	$79.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $20.50 / $29.11	Professional	26	$16.39	$20.50	$29.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.83 / $34.35 / $49.80	Professional	TC	$23.83	$34.35	$49.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $33.38 / $56.51	Professional		$16.11	$33.38	$56.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $59.80 / $96.23	Professional		$41.52	$59.80	$96.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $18.94 / $34.49	Professional	26	$14.55	$18.94	$34.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $40.27 / $62.46	Professional	TC	$24.85	$40.27	$62.46
United Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $47.82 / $82.64	Professional		$37.32	$47.82	$82.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.86 / $17.87 / $31.05	Professional	26	$14.86	$17.87	$31.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $28.88 / $49.59	Professional	TC	$22.18	$28.88	$49.59