Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $77.62	Professional		$23.99	$30.90	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $14.45 / $42.66	Professional	26	$5.01	$14.45	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $21.88 / $48.98	Professional	TC	$18.20	$21.88	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.16 / $4.07 / $9.55	Professional	26	$3.16	$4.07	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $44.67 / $57.54	Professional		$20.42	$44.67	$57.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.55 / $15.85	Professional	26	$8.71	$9.55	$15.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $36.31 / $45.71	Professional	TC	$7.08	$36.31	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $24.55 / $37.15	Facility		$6.31	$24.55	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $28.84 / $39.81	Professional		$6.76	$28.84	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $97.72	Facility		$22.91	$53.70	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.20 / $75.86	Professional		$14.45	$30.20	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $6.61 / $17.38	Professional	26	$3.24	$6.61	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $23.99 / $61.66	Professional	TC	$11.22	$23.99	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $25.12	Facility		$10.00	$15.14	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $54.95	Professional		$19.05	$32.36	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $7.08 / $12.30	Professional	26	$4.07	$7.08	$12.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $24.55 / $45.71	Professional	TC	$14.45	$24.55	$45.71