Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.38 / $3.98 / $4.05	Facility	26	$3.38	$3.98	$4.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $28.44 / $72.68	Professional		$23.45	$28.44	$72.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.99 / $3.62 / $9.75	Professional	26	$2.99	$3.62	$9.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.35 / $12.33 / $14.73	Professional	52	$11.35	$12.33	$14.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $23.49 / $37.24	Professional	TC	$19.48	$23.49	$37.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $29.46 / $30.69	Professional		$15.95	$29.46	$30.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.04 / $3.58 / $4.29	Professional	26	$3.04	$3.58	$4.29
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.88 / $22.88 / $27.00	Professional	TC	$22.88	$22.88	$27.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $68.00 / $96.56	Professional		$20.37	$68.00	$96.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.79 / $6.05 / $9.59	Professional	26	$3.79	$6.05	$9.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $60.88 / $88.81	Professional	TC	$16.30	$60.88	$88.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $19.57 / $26.60	Professional		$3.00	$19.57	$26.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.49 / $3.49 / $3.49	Facility	26	$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $51.46 / $177.32	Professional		$23.13	$51.46	$177.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.17 / $5.01 / $7.70	Professional	26	$3.17	$5.01	$7.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.54 / $44.99 / $160.25	Professional	TC	$19.54	$44.99	$160.25
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $33.46 / $120.60	Professional		$22.14	$33.46	$120.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.77 / $3.92 / $6.81	Professional	26	$2.77	$3.92	$6.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.09 / $26.30 / $108.55	Professional	TC	$19.09	$26.30	$108.55