Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.47 / $13.47 / $22.21	Facility	26	$13.47	$13.47	$22.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $49.17 / $60.01	Professional		$42.43	$49.17	$60.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $13.61 / $17.07	Professional	26	$12.09	$13.61	$17.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.35 / $35.56 / $42.07	Professional	TC	$30.35	$35.56	$42.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $46.70 / $46.70	Professional		$46.70	$46.70	$46.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.62 / $10.62 / $10.62	Professional	26	$10.62	$10.62	$10.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $52.13 / $71.93	Professional		$51.31	$52.13	$71.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.81 / $14.75 / $20.35	Professional	26	$10.81	$14.75	$20.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.38 / $37.82 / $52.23	Professional	TC	$37.38	$37.82	$52.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $39.09 / $65.68	Professional		$13.96	$39.09	$65.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.20 / $16.20 / $16.20	Facility	26	$16.20	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $65.44 / $105.78	Professional		$47.12	$65.44	$105.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $17.80 / $31.02	Professional	26	$13.50	$17.80	$31.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.47 / $47.58 / $74.42	Professional	TC	$34.47	$47.58	$74.42
United Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $54.16 / $97.43	Professional		$39.67	$54.16	$97.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $15.50 / $27.70	Professional	26	$11.86	$15.50	$27.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.99 / $40.17 / $70.14	Professional	TC	$29.99	$40.17	$70.14