Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.33 / $11.33 / $11.33	Facility	26	$11.33	$11.33	$11.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $45.00 / $71.06	Professional		$39.50	$45.00	$71.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.93 / $12.01 / $18.75	Professional	26	$10.93	$12.01	$18.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.23 / $30.64 / $42.75	Professional	TC	$28.23	$30.64	$42.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $38.11 / $60.95	Professional		$36.95	$38.11	$60.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.32 / $16.73	Professional	26	$9.97	$13.32	$16.73
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.01 / $29.68 / $37.10	Professional	TC	$27.01	$29.68	$37.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $42.14 / $58.95	Professional		$32.13	$42.14	$58.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.23 / $17.76	Professional	26	$10.00	$12.23	$17.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $29.90 / $41.17	Professional	TC	$22.13	$29.90	$41.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $34.54 / $52.82	Professional		$11.63	$34.54	$52.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $54.55 / $81.89	Professional		$41.98	$54.55	$81.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $15.73 / $22.72	Professional	26	$11.50	$15.73	$22.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.47 / $58.23	Professional	TC	$30.20	$38.47	$58.23
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $44.73 / $67.62	Professional		$35.51	$44.73	$67.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $13.14 / $20.07	Professional	26	$10.44	$13.14	$20.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.32 / $31.76 / $49.52	Professional	TC	$25.32	$31.76	$49.52