Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.47 / $15.14	Facility	26	$7.76	$10.47	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $89.13	Professional		$30.20	$44.67	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $9.77 / $25.12	Professional	26	$7.08	$9.77	$25.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.75 / $38.90 / $52.48	Professional	50	$11.75	$38.90	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $56.23	Professional	TC	$20.89	$30.20	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $67.61	Professional		$25.70	$32.36	$67.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.41 / $15.49	Professional	26	$6.61	$7.41	$15.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $22.39 / $28.84	Professional	TC	$19.05	$22.39	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $47.86	Professional		$27.54	$29.51	$47.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.48 / $18.20	Professional	26	$8.91	$11.48	$18.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $44.67 / $72.44	Professional	50	$41.69	$44.67	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.42 / $33.11	Professional	TC	$17.78	$20.42	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $34.67 / $48.98	Professional		$8.71	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $83.18	Professional		$28.84	$43.65	$83.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $19.50	Professional	26	$7.08	$10.96	$19.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $31.62 / $61.66	Professional	TC	$20.89	$31.62	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $61.66	Professional		$27.54	$37.15	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.55 / $15.85	Professional	26	$7.76	$9.55	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $28.18 / $46.77	Professional	TC	$18.62	$28.18	$46.77