Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.23 / $22.23 / $26.19	Facility	26	$22.23	$22.23	$26.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $56.52 / $72.33	Professional		$38.25	$56.52	$72.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.46 / $22.23 / $29.97	Professional	26	$20.46	$22.23	$29.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $34.82 / $45.50	Professional	TC	$16.67	$34.82	$45.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $77.98	Professional		$64.15	$64.15	$77.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $23.55 / $23.55	Professional	26	$23.55	$23.55	$23.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $51.20 / $81.15	Professional		$34.42	$51.20	$81.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $29.56 / $46.85	Professional	26	$19.19	$29.56	$46.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.76 / $21.64 / $34.36	Professional	TC	$14.76	$21.64	$34.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $36.19 / $62.89	Professional		$19.78	$36.19	$62.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $60.55 / $98.80	Professional		$47.84	$60.55	$98.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.29 / $29.61 / $44.74	Professional	26	$21.29	$29.61	$44.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.34 / $29.69 / $58.10	Professional	TC	$20.34	$29.69	$58.10
United Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $46.61 / $75.06	Professional		$35.78	$46.61	$75.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $23.02 / $36.08	Professional	26	$17.97	$23.02	$36.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $24.23 / $40.77	Professional	TC	$14.78	$24.23	$40.77