Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $12.88 / $15.49	Facility	26	$8.32	$12.88	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $75.86	Professional		$22.91	$33.11	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $24.55	Professional	26	$7.08	$10.00	$24.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $53.70 / $53.70 / $54.95	Professional	52	$53.70	$53.70	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $47.86	Professional	TC	$15.14	$20.89	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $53.70	Professional		$19.95	$19.95	$53.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	26	$10.47	$10.47	$10.47
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $4.47 / $5.25 / $9.12	Professional	52	$4.47	$5.25	$9.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $60.26	Professional		$32.36	$36.31	$60.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $20.89	Professional	26	$10.47	$13.18	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $23.44 / $38.90	Professional	TC	$22.39	$23.44	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $70.79	Professional		$25.12	$48.98	$70.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $22.39	Professional	26	$7.94	$12.59	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $52.48	Professional	TC	$17.78	$29.51	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $57.54	Professional		$28.18	$36.31	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $16.98	Professional	26	$8.71	$10.72	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $25.70 / $39.81	Professional	TC	$19.50	$25.70	$39.81