Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.44 / $30.52 / $37.93	Facility	26	$25.44	$30.52	$37.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $65.45 / $95.47	Professional		$51.38	$65.45	$95.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.91 / $26.51 / $60.42	Professional	26	$23.91	$26.51	$60.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.72 / $27.26 / $52.38	Professional	52	$24.72	$27.26	$52.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $32.67 / $63.28	Professional	TC	$25.94	$32.67	$63.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $46.09	Professional		$42.25	$42.25	$46.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.78 / $23.13 / $37.83	Professional	26	$5.78	$23.13	$37.83
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $10.95 / $11.44 / $79.23	Professional	52	$10.95	$11.44	$79.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $30.49 / $37.25 / $37.25	Professional	TC	$30.49	$37.25	$37.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $84.28 / $130.63	Professional		$67.42	$84.28	$130.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.80 / $36.00 / $51.12	Professional	26	$28.80	$36.00	$51.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $48.28 / $74.83	Professional	TC	$39.79	$48.28	$74.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $34.49 / $67.28	Professional		$26.48	$34.49	$67.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.97 / $30.97 / $30.97	Facility	26	$30.97	$30.97	$30.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $91.90 / $176.42	Professional		$61.55	$91.90	$176.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.65 / $36.01 / $57.13	Professional	26	$25.65	$36.01	$57.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.01 / $57.80 / $119.29	Professional	TC	$32.01	$57.80	$119.29
United Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $85.51 / $141.46	Professional		$70.02	$85.51	$141.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.06 / $29.23 / $52.38	Professional	26	$25.06	$29.23	$52.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.80 / $55.98 / $90.73	Professional	TC	$43.80	$55.98	$90.73