Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $11.03 / $42.00	Facility	26	$9.67	$11.03	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $48.15 / $82.35	Professional		$35.52	$48.15	$82.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $11.51 / $21.93	Professional	26	$9.61	$11.51	$21.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.83 / $32.52 / $53.79	Professional	TC	$25.83	$32.52	$53.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $38.29 / $52.76	Professional		$29.89	$38.29	$52.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $11.70 / $14.04	Professional	26	$8.52	$11.70	$14.04
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.48 / $25.81 / $35.94	Professional	TC	$23.48	$25.81	$35.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $59.24 / $93.89	Professional		$47.24	$59.24	$93.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $20.91 / $32.47	Professional	26	$12.12	$20.91	$32.47
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $42.70 / $60.75	Professional	TC	$35.11	$42.70	$60.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $30.82 / $45.72	Professional		$9.83	$30.82	$45.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.60 / $11.60 / $11.60	Facility	26	$11.60	$11.60	$11.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $68.55 / $101.00	Professional		$40.72	$68.55	$101.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $16.85 / $27.74	Professional	26	$10.69	$16.85	$27.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.78 / $49.05 / $75.12	Professional	TC	$29.78	$49.05	$75.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $59.52 / $88.67	Professional		$48.18	$59.52	$88.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $14.02 / $21.78	Professional	26	$10.94	$14.02	$21.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $45.51 / $68.28	Professional	TC	$36.04	$45.51	$68.28