Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $58.28 / $95.90	Professional		$50.89	$58.28	$95.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.12 / $22.87 / $32.61	Professional	26	$21.12	$22.87	$32.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.69 / $26.69 / $35.43	Professional	52	$23.69	$26.69	$35.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $31.34 / $41.51	Professional	TC	$25.55	$31.34	$41.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $57.21 / $57.35	Professional		$53.33	$57.21	$57.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $72.31 / $99.80	Professional		$57.85	$72.31	$99.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.11 / $26.74 / $36.85	Professional	26	$22.11	$26.74	$36.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $46.30 / $62.50	Professional	TC	$30.89	$46.30	$62.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $42.46 / $74.56	Facility		$24.98	$42.46	$74.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $32.65 / $65.95	Professional		$24.68	$32.65	$65.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $79.13 / $136.19	Professional		$56.26	$79.13	$136.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $29.67 / $56.21	Professional	26	$21.92	$29.67	$56.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.79 / $45.58 / $77.56	Professional	TC	$29.79	$45.58	$77.56
United Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $61.10 / $89.36	Professional		$50.77	$61.10	$89.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $25.77 / $35.19	Professional	26	$22.47	$25.77	$35.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.05 / $34.63 / $52.50	Professional	TC	$28.05	$34.63	$52.50