Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.57 / $19.57 / $22.66	Facility	26	$19.57	$19.57	$22.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $50.00 / $66.59	Professional		$36.57	$50.00	$66.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $20.53 / $26.14	Professional	26	$18.60	$20.53	$26.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.17 / $30.67 / $40.08	Professional	TC	$15.17	$30.67	$40.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $53.92 / $65.40	Professional		$53.92	$53.92	$65.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $49.10 / $77.81	Professional		$33.04	$49.10	$77.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $29.83 / $47.28	Professional	26	$19.19	$29.83	$47.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.21 / $19.27 / $30.61	Professional	TC	$13.21	$19.27	$30.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $30.17 / $54.50	Professional		$17.12	$30.17	$54.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $55.88 / $92.01	Professional		$44.16	$55.88	$92.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $29.77 / $41.81	Professional	26	$18.79	$29.77	$41.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.11 / $26.19 / $50.75	Professional	TC	$18.11	$26.19	$50.75
United Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $42.35 / $64.39	Professional		$32.95	$42.35	$64.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.26 / $21.60 / $35.03	Professional	26	$16.26	$21.60	$35.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.46 / $21.66 / $34.04	Professional	TC	$13.46	$21.66	$34.04