Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.08 / $26.08 / $31.69	Facility	26	$26.08	$26.08	$31.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $12.06 / $26.13	Professional	26	$9.16	$12.06	$26.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.83 / $18.10 / $36.68	Professional	TC	$14.83	$18.10	$36.68
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.50 / $28.50 / $34.20	Professional	26	$28.50	$28.50	$34.20
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $39.71 / $39.71 / $39.71	Professional	TC	$39.71	$39.71	$39.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $12.18 / $22.13	Professional	26	$9.13	$12.18	$22.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $15.51 / $31.77	Professional	TC	$11.63	$15.51	$31.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.02 / $33.11 / $54.14	Professional	26	$25.02	$33.11	$54.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.89 / $46.70 / $75.45	Professional	TC	$34.89	$46.70	$75.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.80 / $22.80 / $27.36	Professional	26	$22.80	$22.80	$27.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.77 / $31.77 / $112.05	Professional	TC	$31.77	$31.77	$112.05