Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.01 / $22.28 / $24.98	Facility	26	$21.01	$22.28	$24.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $33.47 / $47.75	Professional		$30.38	$33.47	$47.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.30 / $22.36 / $33.63	Professional	26	$20.30	$22.36	$33.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.19 / $16.30 / $19.48	Professional	52	$15.19	$16.30	$19.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $11.64 / $16.00	Professional	TC	$10.11	$11.64	$16.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $38.25 / $51.61	Professional		$30.97	$38.25	$51.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $25.46 / $32.50	Professional	26	$18.85	$25.46	$32.50
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.08 / $8.08 / $8.19	Professional	52	$8.08	$8.08	$8.19
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.82 / $15.82 / $15.82	Professional	TC	$15.82	$15.82	$15.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $32.36 / $43.69	Professional		$27.44	$32.36	$43.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $21.98 / $31.21	Professional	26	$18.68	$21.98	$31.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.83 / $10.39 / $14.75	Professional	TC	$8.83	$10.39	$14.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $24.37 / $40.96	Professional		$11.89	$24.37	$40.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.15 / $25.15 / $25.15	Facility	26	$25.15	$25.15	$25.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $42.73 / $60.06	Professional		$32.76	$42.73	$60.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.34 / $28.86 / $40.46	Professional	26	$21.34	$28.86	$40.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.92 / $14.01 / $20.14	Professional	TC	$10.92	$14.01	$20.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $36.20 / $55.17	Professional		$28.21	$36.20	$55.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.30 / $23.82 / $37.21	Professional	26	$19.30	$23.82	$37.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.89 / $11.26 / $16.69	Professional	TC	$8.89	$11.26	$16.69