Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $33.88 / $42.66	Facility	26	$26.92	$33.88	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $141.25	Professional		$43.65	$74.13	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $46.77 / $89.13	Professional	26	$25.70	$46.77	$89.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.30 / $57.54 / $125.89	Professional	52	$26.30	$57.54	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $56.23	Professional	TC	$19.95	$30.90	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $72.44	Professional		$33.88	$40.74	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $22.91 / $41.69	Professional	26	$21.38	$22.91	$41.69
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.55 / $10.96 / $23.99	Professional	52	$9.55	$10.96	$23.99
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $21.88 / $37.15	Professional	TC	$15.85	$21.88	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $91.20	Professional		$53.70	$58.88	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.88 / $50.12	Professional	26	$30.90	$33.88	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $25.70 / $40.74	Professional	TC	$25.12	$25.70	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $64.57	Professional		$23.99	$33.88	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $112.20	Professional		$42.66	$67.61	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.15 / $60.26	Professional	26	$23.99	$37.15	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $51.29	Professional	TC	$19.95	$30.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $95.50	Professional		$47.86	$63.10	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $34.67 / $52.48	Professional	26	$26.30	$34.67	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $43.65	Professional	TC	$21.38	$28.84	$43.65