Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $13.58	Facility	26	$9.96	$9.96	$13.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $34.61 / $52.32	Professional		$28.15	$34.61	$52.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $12.31 / $19.11	Professional	26	$9.86	$12.31	$19.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.13 / $20.89 / $24.78	Professional	TC	$18.13	$20.89	$24.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $44.86 / $48.13	Professional		$41.09	$44.86	$48.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $8.77 / $17.12	Professional	26	$8.77	$8.77	$17.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $26.63 / $26.63	Professional	TC	$26.63	$26.63	$26.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $33.54 / $46.29	Professional		$27.88	$33.54	$46.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $14.10 / $19.45	Professional	26	$11.98	$14.10	$19.45
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $19.45 / $26.84	Professional	TC	$15.89	$19.45	$26.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $21.26 / $34.67	Professional		$10.11	$21.26	$34.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.90 / $11.90 / $11.90	Facility	26	$11.90	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $39.22 / $63.89	Professional		$30.80	$39.22	$63.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.91 / $15.59 / $23.78	Professional	26	$10.91	$15.59	$23.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.67 / $24.02 / $41.53	Professional	TC	$19.67	$24.02	$41.53
United Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $38.97 / $61.75	Professional		$32.31	$38.97	$61.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $15.72 / $23.97	Professional	26	$12.28	$15.72	$23.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.51 / $23.45 / $36.86	Professional	TC	$19.51	$23.45	$36.86