Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.11 / $27.16 / $47.81	Facility	26	$24.11	$27.16	$47.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $83.20 / $178.98	Professional		$51.38	$83.20	$178.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.11 / $27.00 / $97.65	Professional	26	$24.11	$27.00	$97.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.77 / $26.89 / $228.44	Professional	52	$23.77	$26.89	$228.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.94 / $50.58 / $91.93	Professional	TC	$25.94	$50.58	$91.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $57.16 / $57.19	Professional		$46.63	$57.16	$57.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.04 / $25.22 / $27.29	Professional	26	$5.04	$25.22	$27.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $77.75 / $127.57	Professional		$66.08	$77.75	$127.57
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.23 / $29.68 / $44.14	Professional	26	$25.23	$29.68	$44.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.79 / $48.22 / $83.36	Professional	TC	$39.79	$48.22	$83.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $35.76 / $69.86	Professional		$26.39	$35.76	$69.86
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 $63.39 / $101.07 / $159.84	Professional		$63.39	$101.07	$159.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $36.92 / $61.77	Professional	26	$23.69	$36.92	$61.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $64.40 / $105.96	Professional	TC	$33.54	$64.40	$105.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $61.66	Professional		$32.34	$32.34	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $79.72 / $109.94	Professional		$67.84	$79.72	$109.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $28.49 / $42.74	Professional	26	$24.73	$28.49	$42.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.71 / $53.60 / $74.98	Professional	TC	$40.71	$53.60	$74.98