Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.63 / $11.63 / $11.63	Facility	26	$11.63	$11.63	$11.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $40.88 / $56.30	Professional		$36.54	$40.88	$56.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.17 / $16.20	Professional	26	$11.06	$12.17	$16.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $28.44 / $38.94	Professional	TC	$24.92	$28.44	$38.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
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 $11.81 / $33.11 / $50.05	Professional		$11.81	$33.11	$50.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.91 / $13.91 / $13.91	Facility	26	$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $52.79 / $76.79	Professional		$40.34	$52.79	$76.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $15.95 / $23.30	Professional	26	$11.81	$15.95	$23.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.04 / $37.09 / $52.66	Professional	TC	$28.04	$37.09	$52.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $43.46 / $65.98	Professional		$34.45	$43.46	$65.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $13.20 / $20.61	Professional	26	$10.72	$13.20	$20.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $30.20 / $45.89	Professional	TC	$23.66	$30.20	$45.89