Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $34.67 / $47.86	Facility	26	$25.70	$34.67	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $229.09	Professional		$48.98	$79.43	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $40.74 / $100.00	Professional	26	$22.91	$40.74	$100.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.66 / $60.26 / $229.09	Professional	52	$42.66	$60.26	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $97.72	Professional	TC	$25.12	$39.81	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $50.12	Professional		$38.02	$46.77	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $36.31	Professional	26	$19.05	$22.91	$36.31
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $22.91 / $26.30	Professional	TC	$22.91	$22.91	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $138.04	Professional		$74.13	$85.11	$138.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $57.54	Professional	26	$28.84	$36.31	$57.54
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $47.86 / $79.43	Professional	TC	$45.71	$47.86	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $67.61	Professional		$26.92	$35.48	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $165.96	Professional		$69.18	$112.20	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $57.54	Professional	26	$22.39	$33.88	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $56.23 / $112.20	Professional	TC	$28.84	$56.23	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $125.89	Professional		$66.07	$83.18	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $29.51 / $47.86	Professional	26	$23.99	$29.51	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $54.95 / $85.11	Professional	TC	$38.90	$54.95	$85.11