Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $8.08 / $13.64	Facility	26	$8.08	$8.08	$13.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $29.32 / $41.46	Professional		$24.80	$29.32	$41.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.29 / $8.16 / $15.35	Professional	26	$7.29	$8.16	$15.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.26 / $111.26 / $111.26	Professional	50	$111.26	$111.26	$111.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.72 / $21.20 / $26.74	Professional	TC	$16.72	$21.20	$26.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $23.76 / $23.76	Professional		$23.76	$23.76	$23.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $12.39 / $15.12	Professional	26	$6.45	$12.39	$15.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.21 / $38.63	Professional		$23.99	$27.21	$38.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $11.40 / $15.73	Professional	26	$8.99	$11.40	$15.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.97 / $40.81 / $57.95	Professional	50	$35.97	$40.81	$57.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.99 / $15.81 / $23.30	Professional	TC	$14.99	$15.81	$23.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $25.25 / $38.61	Professional		$8.47	$25.25	$38.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $35.94 / $60.79	Professional		$26.07	$35.94	$60.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.04 / $18.23	Professional	26	$7.95	$11.04	$18.23
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.29 / $38.29 / $43.42	Professional	50	$38.29	$38.29	$43.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $22.84 / $44.74	Professional	TC	$17.05	$22.84	$44.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $31.40 / $53.38	Professional		$25.31	$31.40	$53.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $9.10 / $15.91	Professional	26	$7.54	$9.10	$15.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $22.10 / $38.56	Professional	TC	$17.32	$22.10	$38.56