Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $36.31 / $50.12	Facility	26	$27.54	$36.31	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $141.25	Professional		$54.95	$69.18	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $28.18 / $61.66	Professional	26	$23.99	$28.18	$61.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $213.80 / $257.04	Professional	50	$66.07	$213.80	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.02 / $72.44	Professional	TC	$30.20	$38.02	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $66.07	Professional		$46.77	$52.48	$66.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $43.65	Professional	26	$20.42	$20.42	$43.65
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $131.83	Professional		$67.61	$83.18	$131.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.02 / $60.26	Professional	26	$29.51	$38.02	$60.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $123.03 / $199.53	Professional	50	$102.33	$123.03	$199.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $44.67 / $72.44	Professional	TC	$38.02	$44.67	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $77.62	Professional		$29.51	$38.90	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $165.96	Professional		$60.26	$93.33	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $61.66	Professional	26	$25.12	$38.02	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $56.23 / $97.72	Professional	TC	$33.88	$56.23	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $120.23	Professional		$57.54	$77.62	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $31.62 / $50.12	Professional	26	$26.30	$31.62	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $70.79	Professional	TC	$30.90	$44.67	$70.79