Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $16.98 / $22.91	Facility	26	$13.18	$16.98	$22.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $51.29 / $125.89	Facility	TC	$35.48	$51.29	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $138.04	Professional		$43.65	$74.13	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $37.15	Professional	26	$12.02	$19.50	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $75.86 / $269.15	Professional	50	$29.51	$75.86	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $40.74 / $79.43	Professional	TC	$30.20	$40.74	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $75.86	Professional		$36.31	$48.98	$75.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $13.18 / $25.12	Professional	26	$10.47	$13.18	$25.12
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $35.48 / $74.13	Professional	TC	$23.99	$35.48	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $95.50	Professional		$43.65	$60.26	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $19.50 / $30.20	Professional	26	$14.79	$19.50	$30.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $89.13 / $141.25	Professional	50	$66.07	$89.13	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $40.74 / $64.57	Professional	TC	$29.51	$40.74	$64.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $66.07	Professional		$14.79	$44.67	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $102.33	Professional		$46.77	$54.95	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $30.20	Professional	26	$12.02	$18.62	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $43.65 / $75.86	Professional	TC	$31.62	$43.65	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $85.11	Professional		$43.65	$52.48	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.22 / $26.30	Professional	26	$12.88	$16.22	$26.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $37.15 / $60.26	Professional	TC	$30.90	$37.15	$60.26