Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.36 / $22.00	Professional		$13.72	$16.36	$22.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $12.33 / $34.07	Professional	26	$9.09	$12.33	$34.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.84 / $6.70 / $9.65	Professional	TC	$5.84	$6.70	$9.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $12.19 / $12.19	Professional		$9.06	$12.19	$12.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $6.99 / $16.80	Professional	26	$5.58	$6.99	$16.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.07 / $13.75	Professional		$8.13	$9.07	$13.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.33 / $5.33 / $10.60	Professional	26	$5.33	$5.33	$10.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.80 / $3.74 / $4.93	Professional	TC	$2.80	$3.74	$4.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $13.61 / $24.08	Facility		$7.45	$13.61	$24.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $12.32 / $23.76	Professional		$7.31	$12.32	$23.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $20.46 / $20.46	Facility		$20.46	$20.46	$20.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $19.26 / $35.56	Professional		$8.52	$19.26	$35.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.91 / $11.78 / $26.60	Professional	26	$5.91	$11.78	$26.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.33 / $6.16 / $13.17	Professional	TC	$2.33	$6.16	$13.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $20.46 / $37.42	Professional		$13.21	$20.46	$37.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $12.75 / $22.09	Professional	26	$7.46	$12.75	$22.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.82 / $7.87 / $14.69	Professional	TC	$4.82	$7.87	$14.69