Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.03 / $32.29 / $57.79	Facility	26	$29.03	$32.29	$57.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $142.04 / $478.33	Professional		$103.05	$142.04	$478.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.75 / $44.53 / $129.00	Professional	26	$29.75	$44.53	$129.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $49.39 / $54.88 / $260.25	Professional	52	$49.39	$54.88	$260.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.76 / $90.45 / $173.49	Professional	TC	$69.76	$90.45	$173.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $113.11 / $154.41	Professional		$82.35	$113.11	$154.41
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.44 / $30.58 / $38.22	Professional	26	$24.44	$30.58	$38.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $79.95 / $83.03 / $97.69	Professional	TC	$79.95	$83.03	$97.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $95.10 / $172.48	Professional		$69.25	$95.10	$172.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $36.08 / $53.53	Professional	26	$31.31	$36.08	$53.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.00 / $59.02 / $114.25	Professional	TC	$37.00	$59.02	$114.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $83.21 / $144.12	Professional		$33.64	$83.21	$144.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.42 / $37.42 / $37.42	Facility	26	$37.42	$37.42	$37.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $144.01 / $276.26	Professional		$96.13	$144.01	$276.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.18 / $45.92 / $89.55	Professional	26	$31.18	$45.92	$89.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.28 / $100.28 / $168.56	Professional	TC	$61.28	$100.28	$168.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.82	Professional		$32.34	$32.34	$133.82
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $113.25 / $168.78	Professional		$93.92	$113.25	$168.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $36.67 / $51.05	Professional	26	$30.59	$36.67	$51.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.38 / $83.71 / $117.79	Professional	TC	$61.38	$83.71	$117.79