Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $44.67	Professional		$13.49	$18.20	$44.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $25.70 / $83.18	Professional	26	$8.91	$25.70	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $7.08 / $18.20	Professional	TC	$5.01	$7.08	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.62 / $7.59 / $13.80	Professional	26	$5.62	$7.59	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.12 / $15.14	Professional		$8.13	$9.12	$15.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $5.37 / $10.96	Professional	26	$5.37	$5.37	$10.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.82 / $3.72 / $5.25	Professional	TC	$2.82	$3.72	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $13.80 / $23.99	Facility		$7.41	$13.80	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $25.12	Professional		$7.94	$14.13	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.89 / $47.86	Facility		$16.98	$20.89	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.05 / $35.48	Professional		$8.32	$19.05	$35.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $11.75 / $26.92	Professional	26	$5.89	$11.75	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.29 / $6.17 / $13.49	Professional	TC	$2.29	$6.17	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $18.20	Facility		$7.24	$10.96	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.42 / $37.15	Professional		$12.30	$20.42	$37.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.59 / $21.88	Professional	26	$7.41	$12.59	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $7.94 / $14.79	Professional	TC	$4.79	$7.94	$14.79