Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.39 / $11.39 / $18.36	Facility	26	$11.39	$11.39	$18.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $42.13 / $158.84	Professional		$36.95	$42.13	$158.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.03 / $13.51 / $31.28	Professional	26	$12.03	$13.51	$31.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.48 / $20.53 / $24.40	Professional	52	$18.48	$20.53	$24.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $28.40 / $53.75	Professional	TC	$22.26	$28.40	$53.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $39.69 / $39.69	Professional		$39.69	$39.69	$39.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $12.00 / $19.71	Professional	26	$12.00	$12.00	$19.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $37.74 / $62.63	Professional		$32.08	$37.74	$62.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $15.03 / $23.48	Professional	26	$12.77	$15.03	$23.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $22.71 / $38.92	Professional	TC	$19.30	$22.71	$38.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $31.66 / $55.51	Professional		$13.39	$31.66	$55.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.96 / $14.96 / $14.96	Facility	26	$14.96	$14.96	$14.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $52.47 / $85.96	Professional		$37.29	$52.47	$85.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $18.57 / $28.80	Professional	26	$12.72	$18.57	$28.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $35.59 / $53.09	Professional	TC	$24.12	$35.59	$53.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $32.34 / $32.34	Professional		$20.32	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $44.75 / $63.71	Professional		$34.83	$44.75	$63.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.68 / $14.38 / $21.78	Professional	26	$11.68	$14.38	$21.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $29.94 / $41.29	Professional	TC	$22.44	$29.94	$41.29