Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.45 / $2.45 / $2.45	Facility	26	$2.45	$2.45	$2.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $16.62 / $26.79	Professional		$13.30	$16.62	$26.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.45 / $3.34 / $5.81	Professional	26	$2.45	$3.34	$5.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.86 / $13.40 / $21.65	Professional	TC	$10.86	$13.40	$21.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.52 / $3.56 / $3.56	Professional	26	$2.52	$3.56	$3.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $21.35 / $29.67	Professional		$17.20	$21.35	$29.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.88 / $7.56 / $11.99	Professional	26	$4.88	$7.56	$11.99
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.62 / $13.03 / $19.35	Professional	TC	$10.62	$13.03	$19.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $12.96 / $16.57	Professional		$2.49	$12.96	$16.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.06 / $3.06 / $3.06	Facility	26	$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $26.35 / $38.65	Professional		$15.47	$26.35	$38.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $6.03 / $10.35	Professional	26	$2.95	$6.03	$10.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.10 / $19.80 / $30.51	Professional	TC	$12.10	$19.80	$30.51
United Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $23.59 / $35.85	Professional		$18.02	$23.59	$35.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $5.31 / $7.83	Professional	26	$3.89	$5.31	$7.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.90 / $18.05 / $27.99	Professional	TC	$13.90	$18.05	$27.99