Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $29.07 / $49.38	Professional		$25.39	$29.07	$49.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $13.71 / $18.55	Professional	26	$12.44	$13.71	$18.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.96 / $15.36 / $19.96	Professional	TC	$12.96	$15.36	$19.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $35.88 / $35.88	Professional		$35.88	$35.88	$35.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $34.11 / $49.60	Professional		$26.52	$34.11	$49.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $15.91 / $21.00	Professional	26	$13.00	$15.91	$21.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.56 / $18.20 / $30.96	Professional	TC	$14.56	$18.20	$30.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $20.48 / $41.40	Facility		$17.32	$20.48	$41.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $19.59 / $36.36	Professional		$15.36	$19.59	$36.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $59.25 / $96.88	Professional		$30.45	$59.25	$96.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $19.23 / $35.68	Professional	26	$14.57	$19.23	$35.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.58 / $28.69 / $66.70	Professional	TC	$14.58	$28.69	$66.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $33.96 / $50.88	Professional		$27.42	$33.96	$50.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.48 / $15.77 / $20.86	Professional	26	$13.48	$15.77	$20.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.66 / $17.69 / $30.37	Professional	TC	$13.66	$17.69	$30.37