Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.70 / $9.16 / $18.17	Facility	26	$7.70	$9.16	$18.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $30.89 / $49.00	Professional		$24.88	$30.89	$49.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $8.40 / $14.00	Professional	26	$7.53	$8.40	$14.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $20.81 / $33.35	Professional	TC	$17.05	$20.81	$33.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $25.36 / $36.90	Professional		$21.46	$25.36	$36.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.10 / $9.49 / $11.18	Professional	26	$7.10	$9.49	$11.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.16 / $21.45 / $24.04	Professional	TC	$17.16	$21.45	$24.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $34.15 / $48.76	Professional		$28.10	$34.15	$48.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $13.68 / $21.68	Professional	26	$7.55	$13.68	$21.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $20.55 / $27.77	Professional	TC	$17.07	$20.55	$27.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $20.59 / $31.98	Professional		$7.92	$20.59	$31.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $41.04 / $58.70	Professional		$27.76	$41.04	$58.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.89 / $10.77 / $17.68	Professional	26	$7.89	$10.77	$17.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.17 / $29.46 / $44.70	Professional	TC	$19.17	$29.46	$44.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.01 / $54.43	Professional		$28.50	$35.01	$54.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.06 / $8.67 / $14.16	Professional	26	$7.06	$8.67	$14.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.27 / $27.00 / $39.47	Professional	TC	$21.27	$27.00	$39.47