Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $11.75 / $15.49	Facility	26	$8.71	$11.75	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $177.83	Professional		$32.36	$56.23	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.22 / $43.65	Professional	26	$7.94	$11.22	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $36.31 / $151.36	Professional	TC	$22.91	$36.31	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $42.66	Professional		$25.70	$30.20	$42.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.32 / $14.79	Professional	26	$6.92	$8.32	$14.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $52.48	Professional	TC	$21.88	$39.81	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $134.90	Professional		$50.12	$83.18	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $19.05 / $29.51	Professional	26	$10.72	$19.05	$29.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $63.10 / $112.20	Professional	TC	$36.31	$63.10	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $33.11 / $47.86	Professional		$9.55	$33.11	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $158.49	Professional		$33.11	$66.07	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $23.44	Professional	26	$7.94	$12.59	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $52.48 / $128.82	Professional	TC	$25.70	$52.48	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $112.20	Professional		$34.67	$51.29	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.00 / $17.78	Professional	26	$7.76	$10.00	$17.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.90 / $97.72	Professional	TC	$25.70	$38.90	$97.72