Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $10.00 / $14.45	Facility	26	$8.32	$10.00	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $125.89	Professional		$51.29	$64.57	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $21.88	Professional	26	$7.94	$10.00	$21.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $51.29 / $91.20	Professional	TC	$42.66	$51.29	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $81.28	Professional		$45.71	$54.95	$81.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.00 / $12.02	Professional	26	$7.94	$10.00	$12.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $46.77 / $63.10	Professional	TC	$44.67	$46.77	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $83.18	Professional		$41.69	$54.95	$83.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $8.71 / $13.49	Professional	26	$6.92	$8.71	$13.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $46.77 / $70.79	Professional	TC	$37.15	$46.77	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $50.12 / $67.61	Professional		$9.33	$50.12	$67.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $114.82	Professional		$53.70	$70.79	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.96 / $17.38	Professional	26	$8.32	$10.96	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $58.88 / $91.20	Professional	TC	$44.67	$58.88	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $85.11	Professional		$45.71	$58.88	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $14.13	Professional	26	$7.59	$9.33	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $48.98 / $72.44	Professional	TC	$38.02	$48.98	$72.44