Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.33 / $13.46 / $15.06	Facility	26	$11.33	$13.46	$15.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $56.28 / $91.02	Professional		$49.85	$56.28	$91.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $12.10 / $21.24	Professional	26	$11.06	$12.10	$21.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.03 / $26.12 / $30.58	Professional	52	$24.03	$26.12	$30.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $41.39 / $58.38	Professional	TC	$37.54	$41.39	$58.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $55.62 / $83.43	Professional		$46.38	$55.62	$83.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $13.71 / $16.43	Professional	26	$9.97	$13.71	$16.43
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $49.98 / $57.48	Professional	TC	$37.65	$49.98	$57.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $53.69 / $74.75	Professional		$40.67	$53.69	$74.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.23 / $17.76	Professional	26	$10.00	$12.23	$17.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.66 / $41.46 / $56.98	Professional	TC	$30.66	$41.46	$56.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $45.98 / $66.20	Professional		$11.63	$45.98	$66.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.55 / $13.55 / $13.55	Facility	26	$13.55	$13.55	$13.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $68.84 / $103.80	Professional		$52.47	$68.84	$103.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $15.73 / $24.01	Professional	26	$11.50	$15.73	$24.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.65 / $52.75 / $79.11	Professional	TC	$40.65	$52.75	$79.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $57.23 / $89.10	Professional		$45.24	$57.23	$89.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $13.13 / $20.05	Professional	26	$10.49	$13.13	$20.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.14 / $42.65 / $64.77	Professional	TC	$34.14	$42.65	$64.77