Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $76.58 / $269.93	Professional		$51.88	$76.58	$269.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.07 / $69.15 / $272.00	Professional	26	$29.07	$69.15	$272.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.05 / $27.64 / $32.22	Professional	52	$26.05	$27.64	$32.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $35.21 / $98.76	Professional	TC	$26.21	$35.21	$98.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $32.86 / $42.94	Professional		$32.50	$32.86	$42.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $20.38 / $50.94	Professional	26	$16.91	$20.38	$50.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.37 / $21.37 / $21.37	Professional	TC	$21.37	$21.37	$21.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $91.31 / $120.52	Professional		$57.22	$91.31	$120.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.76 / $45.95 / $60.65	Professional	26	$36.76	$45.95	$60.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.70 / $45.36 / $59.87	Professional	TC	$15.70	$45.36	$59.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $44.15 / $85.45	Facility		$31.77	$44.15	$85.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $42.72 / $82.16	Professional		$31.77	$42.72	$82.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $49.47	Facility		$49.47	$49.47	$49.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $77.37 / $183.00	Professional		$33.89	$77.37	$183.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $36.70 / $85.44	Professional	26	$17.89	$36.70	$85.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.33 / $31.96 / $101.64	Professional	TC	$15.33	$31.96	$101.64
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $74.45 / $128.47	Professional		$40.27	$74.45	$128.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $39.34 / $66.88	Professional	26	$23.61	$39.34	$66.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $39.39 / $66.53	Professional	TC	$19.27	$39.39	$66.53