Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.20 / $12.20 / $20.84	Facility	26	$12.20	$12.20	$20.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $53.25 / $67.05	Professional		$44.86	$53.25	$67.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $12.70 / $18.50	Professional	26	$11.43	$12.70	$18.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $41.05 / $51.56	Professional	TC	$34.14	$41.05	$51.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $10.35 / $22.12	Professional	26	$9.81	$10.35	$22.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $63.31 / $87.36	Professional		$46.46	$63.31	$87.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.99 / $18.46 / $25.47	Professional	26	$13.99	$18.46	$25.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $69.69 / $94.96 / $131.05	Professional	50	$69.69	$94.96	$131.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.46 / $44.86 / $61.90	Professional	TC	$32.46	$44.86	$61.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $48.54 / $70.90	Professional		$12.95	$48.54	$70.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.00 / $15.00 / $15.00	Facility	26	$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $63.08 / $106.18	Professional		$50.13	$63.08	$106.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $17.17 / $26.63	Professional	26	$12.53	$17.17	$26.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.94 / $46.67 / $75.97	Professional	TC	$36.94	$46.67	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $56.66 / $98.59	Professional		$48.16	$56.66	$98.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $15.41 / $25.67	Professional	26	$12.44	$15.41	$25.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.31 / $42.21 / $71.68	Professional	TC	$34.31	$42.21	$71.68