Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.00 / $2.00 / $51.29	Facility	26	$2.00	$2.00	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $40.74	Professional		$12.88	$16.98	$40.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $7.08	Professional	26	$2.00	$3.02	$7.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.88 / $27.54	Professional	TC	$10.00	$12.88	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.18	Professional		$11.75	$11.75	$13.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $3.09 / $3.55	Professional	26	$2.63	$3.09	$3.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $33.88	Professional		$17.78	$21.38	$33.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.37 / $8.91 / $13.49	Professional	26	$4.37	$8.91	$13.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.75 / $13.49 / $21.88	Professional	TC	$11.75	$13.49	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $40.74	Professional		$15.14	$25.70	$40.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.88 / $5.75 / $10.23	Professional	26	$2.88	$5.75	$10.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.50 / $33.11	Professional	TC	$12.02	$19.50	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $34.67	Professional		$17.78	$23.44	$34.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $5.37 / $7.94	Professional	26	$3.63	$5.37	$7.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $18.20 / $26.30	Professional	TC	$13.80	$18.20	$26.30