Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $40.74	Professional		$12.02	$14.13	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.24 / $15.14	Professional	26	$3.02	$7.24	$15.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $10.00 / $22.91	Professional	TC	$7.94	$10.00	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $1.95 / $2.75 / $6.17	Professional	26	$1.95	$2.75	$6.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $25.12	Professional		$9.77	$19.50	$25.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $5.75 / $7.41	Professional	26	$5.25	$5.75	$7.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $14.45 / $17.38	Professional	TC	$2.88	$14.45	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $11.75 / $19.05	Facility		$4.07	$11.75	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $13.49 / $19.95	Professional		$4.37	$13.49	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.55 / $44.67	Facility		$14.45	$24.55	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.79 / $33.88	Professional		$6.76	$14.79	$33.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.09 / $4.17 / $10.23	Professional	26	$2.09	$4.17	$10.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.57 / $10.00 / $30.20	Professional	TC	$4.57	$10.00	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.94 / $13.18	Facility		$5.25	$7.94	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.60 / $26.92	Professional		$9.55	$16.60	$26.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $4.37 / $7.94	Professional	26	$2.63	$4.37	$7.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.76 / $11.75 / $21.38	Professional	TC	$6.76	$11.75	$21.38