Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.74 / $9.96 / $530.21	Facility	26	$8.74	$9.96	$530.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $40.86 / $101.75	Professional		$32.09	$40.86	$101.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.40 / $23.42	Professional	26	$8.71	$9.40	$23.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.77 / $30.90 / $87.98	Professional	TC	$23.77	$30.90	$87.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $30.10 / $56.66	Professional		$28.33	$30.10	$56.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $7.59 / $12.53	Professional	26	$6.97	$7.59	$12.53
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $28.41 / $40.04 / $41.17	Professional	TC	$28.41	$40.04	$41.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $82.75 / $132.40	Professional		$51.36	$82.75	$132.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $19.20 / $27.26	Professional	26	$10.81	$19.20	$27.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.50 / $63.55 / $101.68	Professional	TC	$40.50	$63.55	$101.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $31.19 / $46.03	Professional		$9.15	$31.19	$46.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $84.10 / $181.06	Professional		$35.50	$84.10	$181.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $12.41 / $21.25	Professional	26	$8.97	$12.41	$21.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $64.04 / $138.72	Professional	TC	$26.56	$64.04	$138.72
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $49.38 / $114.65	Professional		$34.04	$49.38	$114.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $10.11 / $18.60	Professional	26	$7.70	$10.11	$18.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.52 / $39.24 / $97.27	Professional	TC	$25.52	$39.24	$97.27