Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.74 / $10.16 / $13.70	Facility	26	$6.74	$10.16	$13.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $30.11 / $92.56	Professional		$23.52	$30.11	$92.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $7.61 / $23.04	Professional	26	$7.03	$7.61	$23.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.34 / $90.79 / $91.64	Professional	50	$44.34	$90.79	$91.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.76 / $13.07 / $14.67	Professional	52	$11.76	$13.07	$14.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.34 / $20.64 / $35.67	Professional	TC	$17.34	$20.64	$35.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $18.55 / $21.20	Professional		$18.55	$18.55	$21.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $2.24 / $8.55 / $9.32	Professional	26	$2.24	$8.55	$9.32
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.84 / $21.84 / $21.84	Professional	TC	$21.84	$21.84	$21.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $25.94 / $43.98	Professional		$21.48	$25.94	$43.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.30 / $8.59 / $13.58	Professional	26	$7.30	$8.59	$13.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.22 / $38.10 / $65.97	Professional	50	$32.22	$38.10	$65.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.18 / $16.84 / $30.03	Professional	TC	$14.18	$16.84	$30.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $20.23 / $34.68	Professional		$7.92	$20.23	$34.68
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 / $36.86 / $55.06	Professional		$25.31	$36.86	$55.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.40 / $17.71	Professional	26	$7.58	$11.40	$17.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $25.97 / $39.99	Professional	TC	$17.61	$25.97	$39.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $32.34 / $32.34	Professional		$13.31	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.51 / $45.22	Professional		$22.81	$28.51	$45.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $8.50 / $12.45	Professional	26	$6.89	$8.50	$12.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.89 / $19.89 / $30.32	Professional	TC	$15.89	$19.89	$30.32