Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.46 / $36.56 / $802.00	Facility	26	$30.46	$36.56	$802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $49.51 / $108.00	Professional		$28.64	$49.51	$108.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $31.62 / $63.00	Professional	26	$18.21	$31.62	$63.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.45 / $70.45 / $70.45	Professional	50	$70.45	$70.45	$70.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.16 / $10.42 / $33.40	Professional	TC	$8.16	$10.42	$33.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $50.88 / $87.89	Professional		$39.84	$50.88	$87.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.21 / $29.19 / $45.60	Professional	26	$24.21	$29.19	$45.60
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $31.15 / $42.29	Professional	TC	$20.30	$31.15	$42.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $29.06 / $45.04	Professional		$24.57	$29.06	$45.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $19.42 / $30.10	Professional	26	$16.79	$19.42	$30.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.86 / $43.59 / $67.56	Professional	50	$36.86	$43.59	$67.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.01 / $9.64 / $14.94	Professional	TC	$8.01	$9.64	$14.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $38.00 / $74.81	Professional		$29.60	$38.00	$74.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $56.13 / $105.47	Professional		$34.90	$56.13	$105.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.65 / $30.67 / $51.64	Professional	26	$22.65	$30.67	$51.64
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.87 / $74.87 / $84.74	Professional	50	$74.87	$74.87	$84.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.01 / $19.26 / $55.63	Professional	TC	$11.01	$19.26	$55.63
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $51.65 / $87.38	Professional		$32.88	$51.65	$87.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $24.90 / $45.41	Professional	26	$20.39	$24.90	$45.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.13 / $26.56 / $48.66	Professional	TC	$10.13	$26.56	$48.66