Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $28.84 / $33.11	Facility	26	$20.89	$28.84	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $75.86	Professional		$30.20	$37.15	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $56.23	Professional	26	$20.42	$25.70	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $21.38	Professional	TC	$10.00	$12.02	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $46.77	Professional		$27.54	$32.36	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $33.11	Professional	26	$19.05	$23.44	$33.11
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.91 / $8.91 / $8.91	Professional	52	$8.91	$8.91	$8.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $51.29	Professional		$27.54	$32.36	$51.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $22.91 / $36.31	Professional	26	$19.50	$22.91	$36.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $10.96 / $17.78	Professional	TC	$9.77	$10.96	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.30 / $43.65	Professional		$12.88	$26.30	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.37 / $25.12 / $35.48	Facility	26	$5.37	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $63.10	Professional		$32.36	$42.66	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.84 / $42.66	Professional	26	$21.38	$28.84	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $14.13 / $21.38	Professional	TC	$10.96	$14.13	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $52.48	Professional		$28.18	$36.31	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $24.55 / $35.48	Professional	26	$19.50	$24.55	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.48 / $16.98	Professional	TC	$8.91	$11.48	$16.98