Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $52.48 / $70.79	Facility	26	$39.81	$52.48	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $309.03	Professional		$48.98	$95.50	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $40.74 / $109.65	Professional	26	$24.55	$40.74	$109.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $60.26 / $138.04	Professional	50	$60.26	$60.26	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $22.91 / $89.13	Professional	TC	$8.91	$22.91	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $58.88	Professional		$34.67	$41.69	$58.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $39.81 / $60.26	Professional	26	$33.11	$39.81	$60.26
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $7.59 / $7.76 / $8.91	Professional	TC	$7.59	$7.76	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $169.82	Professional		$91.20	$112.20	$169.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $29.51 / $45.71	Professional	26	$25.12	$29.51	$45.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $165.96 / $257.04	Professional	50	$138.04	$165.96	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $83.18 / $128.82	Professional	TC	$67.61	$83.18	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $45.71 / $66.07	Professional		$10.23	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $190.55	Professional		$61.66	$128.82	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $81.28	Professional	26	$29.51	$43.65	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $69.18 / $141.25	Professional	TC	$10.00	$69.18	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $173.78	Professional		$64.57	$109.65	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $33.11 / $54.95	Professional	26	$27.54	$33.11	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $72.44 / $125.89	Professional	TC	$28.18	$72.44	$125.89