Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.66 / $30.39 / $36.83	Facility	26	$26.66	$30.39	$36.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $50.45 / $99.00	Professional		$45.50	$50.45	$99.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $28.38 / $68.08	Professional	26	$25.22	$28.38	$68.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.44 / $94.14 / $101.00	Professional	52	$26.44	$94.14	$101.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $22.68 / $45.00	Professional	TC	$19.80	$22.68	$45.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $40.89 / $76.66	Professional		$38.33	$40.89	$76.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $21.80 / $39.65	Professional	26	$21.15	$21.80	$39.65
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.47 / $10.29 / $13.42	Professional	52	$9.47	$10.29	$13.42
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $32.21 / $32.21	Professional	TC	$22.85	$32.21	$32.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $59.31 / $79.70	Professional		$53.82	$59.31	$79.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $33.53 / $44.19	Professional	26	$30.13	$33.53	$44.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $25.78 / $35.52	Professional	TC	$23.69	$25.78	$35.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $32.21 / $62.28	Professional		$22.54	$32.21	$62.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $65.83 / $112.42	Professional		$48.03	$65.83	$112.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.90 / $35.67 / $61.40	Professional	26	$26.90	$35.67	$61.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.24 / $29.71 / $50.10	Professional	TC	$21.24	$29.71	$50.10
United Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $62.81 / $99.41	Professional		$49.70	$62.81	$99.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.33 / $34.90 / $54.88	Professional	26	$27.33	$34.90	$54.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $27.99 / $43.66	Professional	TC	$21.98	$27.99	$43.66