Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $26.29 / $54.26	Professional		$23.34	$26.29	$54.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.26 / $6.81 / $31.84	Professional	26	$5.26	$6.81	$31.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.23 / $20.21 / $23.72	Professional	TC	$18.23	$20.21	$23.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $19.97	Professional		$15.68	$15.68	$19.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.10 / $4.00 / $9.23	Professional	26	$3.10	$4.00	$9.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.98 / $15.98 / $15.98	Professional	TC	$15.98	$15.98	$15.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $44.87 / $58.20	Professional		$20.50	$44.87	$58.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $8.69 / $15.77	Professional	26	$6.95	$8.69	$15.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.13 / $36.18 / $46.00	Professional	TC	$7.13	$36.18	$46.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $28.46 / $38.83	Facility		$6.31	$28.46	$38.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $26.09 / $37.58	Professional		$6.15	$26.09	$37.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $22.99 / $22.99	Facility		$22.99	$22.99	$22.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $30.74 / $78.88	Professional		$14.61	$30.74	$78.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.26 / $6.65 / $17.57	Professional	26	$3.26	$6.65	$17.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.10 / $23.93 / $61.29	Professional	TC	$11.10	$23.93	$61.29
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $31.40 / $55.07	Professional		$18.84	$31.40	$55.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.12 / $7.13 / $12.27	Professional	26	$4.12	$7.13	$12.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $24.18 / $45.41	Professional	TC	$14.51	$24.18	$45.41