Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $28.98 / $50.08	Facility	26	$25.22	$28.98	$50.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $56.26 / $214.17	Professional		$48.00	$56.26	$214.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.57 / $36.57 / $80.78	Professional	26	$26.57	$36.57	$80.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $47.78 / $220.80 / $299.00	Professional	52	$47.78	$220.80	$299.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.30 / $25.32 / $61.80	Professional	TC	$21.30	$25.32	$61.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $51.90 / $70.44	Professional		$38.33	$51.90	$70.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $31.01 / $34.49	Professional	26	$21.15	$31.01	$34.49
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $34.59 / $34.59 / $34.59	Professional	52	$34.59	$34.59	$34.59
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.57 / $22.85	Professional	TC	$20.42	$22.57	$22.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $59.33 / $76.48	Professional		$53.45	$59.33	$76.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.69 / $33.53 / $43.27	Professional	26	$29.69	$33.53	$43.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.69 / $25.78 / $33.24	Professional	TC	$23.69	$25.78	$33.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $33.15 / $65.73	Professional		$22.56	$33.15	$65.73
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 / $72.66 / $117.43	Professional		$48.03	$72.66	$117.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.55 / $40.86 / $67.34	Professional	26	$28.55	$40.86	$67.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.19 / $31.68 / $51.77	Professional	TC	$23.19	$31.68	$51.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $32.34 / $44.52	Professional		$25.16	$32.34	$44.52
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $62.03 / $81.98	Professional		$49.13	$62.03	$81.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $35.08 / $46.34	Professional	26	$28.41	$35.08	$46.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $27.78 / $43.63	Professional	TC	$21.98	$27.78	$43.63