Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $28.33 / $33.72	Professional		$26.61	$28.33	$33.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.40 / $23.88 / $28.85	Professional	26	$22.40	$23.88	$28.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.31 / $14.17 / $16.87	Professional	52	$13.31	$14.17	$16.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $4.05 / $4.88	Professional	TC	$3.80	$4.05	$4.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $24.49 / $24.49	Professional		$24.49	$24.49	$24.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $50.13 / $67.53	Professional		$23.59	$50.13	$67.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.68 / $22.10 / $29.83	Professional	26	$17.68	$22.10	$29.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.32 / $10.40 / $16.12	Professional	TC	$8.32	$10.40	$16.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $26.58 / $34.54	Professional		$3.61	$26.58	$34.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $56.46 / $101.83	Professional		$27.40	$56.46	$101.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $25.50 / $51.36	Professional	26	$17.85	$25.50	$51.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.73 / $27.62 / $57.29	Professional	TC	$3.73	$27.62	$57.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $29.41 / $57.58	Professional		$23.73	$29.41	$57.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $21.57 / $34.08	Professional	26	$14.45	$21.57	$34.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.16 / $4.47 / $33.97	Professional	TC	$3.16	$4.47	$33.97