Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.42 / $8.47 / $13.41	Facility	26	$7.42	$8.47	$13.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $28.93 / $52.12	Professional		$14.90	$28.93	$52.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.01 / $7.72 / $15.09	Professional	26	$7.01	$7.72	$15.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $21.49 / $36.27	Professional	TC	$18.32	$21.49	$36.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $25.72	Professional		$25.72	$25.72	$25.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.90 / $7.92 / $11.13	Professional	26	$5.90	$7.92	$11.13
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.09 / $32.90 / $32.90	Professional	TC	$26.09	$32.90	$32.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $28.37 / $45.39	Professional		$25.38	$28.37	$45.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $10.50 / $14.90	Professional	26	$8.34	$10.50	$14.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.07 / $42.55 / $67.66	Professional	50	$38.07	$42.55	$67.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.89 / $17.87 / $29.10	Professional	TC	$16.89	$17.87	$29.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $25.22 / $38.15	Professional		$7.79	$25.22	$38.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $37.94 / $65.51	Professional		$27.61	$37.94	$65.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $10.46 / $17.97	Professional	26	$7.54	$10.46	$17.97
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.85 / $37.85 / $42.89	Professional	50	$37.85	$37.85	$42.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $25.68 / $48.39	Professional	TC	$18.98	$25.68	$48.39
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $31.76 / $52.60	Professional		$25.41	$31.76	$52.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.40 / $8.88 / $14.90	Professional	26	$7.40	$8.88	$14.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.68 / $22.92 / $38.54	Professional	TC	$17.68	$22.92	$38.54