Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.14 / $7.41 / $10.66	Facility	26	$7.14	$7.41	$10.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $27.53 / $50.34	Professional		$18.72	$27.53	$50.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.48 / $16.14	Professional	26	$6.74	$7.48	$16.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.64 / $91.64 / $91.64	Professional	50	$91.64	$91.64	$91.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.99 / $13.32 / $16.29	Professional	52	$10.99	$13.32	$16.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $19.16 / $28.62	Professional	TC	$16.73	$19.16	$28.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $25.47 / $25.47	Professional		$21.20	$25.47	$25.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.58 / $7.98 / $12.74	Professional	26	$5.58	$7.98	$12.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $22.94 / $28.38	Professional	TC	$21.84	$22.94	$28.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $27.74 / $44.38	Professional		$24.43	$27.74	$44.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $10.90 / $15.04	Professional	26	$8.34	$10.90	$15.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.64 / $41.61 / $66.56	Professional	50	$36.64	$41.61	$66.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.95 / $16.84 / $26.94	Professional	TC	$15.95	$16.84	$26.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $21.10 / $33.11	Professional		$7.48	$21.10	$33.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $34.90 / $59.80	Professional		$25.31	$34.90	$59.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $10.22 / $16.72	Professional	26	$7.25	$10.22	$16.72
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.13 / $35.13 / $39.76	Professional	50	$35.13	$35.13	$39.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $24.48 / $42.30	Professional	TC	$17.61	$24.48	$42.30
United Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $28.98 / $49.61	Professional		$23.97	$28.98	$49.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.69 / $14.33	Professional	26	$7.31	$8.69	$14.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $20.23 / $34.36	Professional	TC	$16.32	$20.23	$34.36