Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.06 / $8.06 / $13.59	Facility	26	$8.06	$8.06	$13.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $23.24 / $33.60	Professional		$19.92	$23.24	$33.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.42 / $16.16	Professional	26	$7.58	$8.42	$16.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.55 / $14.46 / $22.05	Professional	TC	$12.55	$14.46	$22.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.00 / $19.00	Professional		$18.05	$19.00	$19.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.39 / $8.03 / $15.07	Professional	26	$6.39	$8.03	$15.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $29.62 / $45.91	Professional		$23.70	$29.62	$45.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.40 / $16.16	Professional	26	$9.11	$11.40	$16.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.54 / $44.43 / $68.86	Professional	50	$35.54	$44.43	$68.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.40 / $18.22 / $29.10	Professional	TC	$15.40	$18.22	$29.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $16.30 / $28.11	Professional		$8.44	$16.30	$28.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $33.71 / $59.21	Professional		$22.36	$33.71	$59.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.49 / $18.54	Professional	26	$7.95	$11.49	$18.54
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.47 / $41.47 / $47.09	Professional	50	$41.47	$41.47	$47.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.56 / $22.70 / $41.28	Professional	TC	$14.56	$22.70	$41.28
United Facility/Professional Professional Modifier Low / Median / High Price $24.01 / $30.97 / $50.10	Professional		$24.01	$30.97	$50.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $9.39 / $16.16	Professional	26	$8.03	$9.39	$16.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $20.52 / $32.13	Professional	TC	$16.32	$20.52	$32.13