Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.02 / $10.83 / $12.31	Facility	26	$9.02	$10.83	$12.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.51 / $35.68	Professional		$24.55	$28.51	$35.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.47 / $9.02 / $11.53	Professional	26	$8.47	$9.02	$11.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.46 / $19.57 / $24.15	Professional	TC	$16.46	$19.57	$24.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.09 / $10.46 / $12.06	Professional	26	$7.09	$10.46	$12.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $40.19 / $60.28	Professional		$28.66	$40.19	$60.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $14.60 / $20.73	Professional	26	$11.62	$14.60	$20.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $25.59 / $40.68	Professional	TC	$17.04	$25.59	$40.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $24.13 / $37.51	Professional		$9.15	$24.13	$37.51
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 $28.58 / $43.67 / $71.77	Professional		$28.58	$43.67	$71.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $12.62 / $22.75	Professional	26	$8.97	$12.62	$22.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $30.42 / $51.25	Professional	TC	$17.85	$30.42	$51.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $33.01 / $58.59	Professional		$21.94	$33.01	$58.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $10.72 / $20.88	Professional	26	$8.23	$10.72	$20.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.67 / $22.37 / $39.21	Professional	TC	$13.67	$22.37	$39.21