Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $9.53 / $10.64	Facility	26	$8.36	$9.53	$10.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $58.43 / $97.01	Professional		$51.93	$58.43	$97.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $8.76 / $15.29	Professional	26	$7.66	$8.76	$15.29
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.20 / $27.54 / $31.94	Professional	52	$25.20	$27.54	$31.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.99 / $47.17 / $65.54	Professional	TC	$42.99	$47.17	$65.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $64.08 / $82.39	Professional		$45.62	$64.08	$82.39
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.36 / $10.11 / $12.14	Professional	26	$7.36	$10.11	$12.14
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $38.40 / $42.21 / $58.52	Professional	TC	$38.40	$42.21	$58.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $53.35 / $74.08	Professional		$40.11	$53.35	$74.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.16 / $11.78	Professional	26	$6.64	$8.16	$11.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.47 / $45.19 / $62.30	Professional	TC	$33.47	$45.19	$62.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $48.35 / $66.09	Professional		$8.60	$48.35	$66.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.06 / $10.06 / $10.06	Facility	26	$10.06	$10.06	$10.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $69.68 / $104.30	Professional		$52.92	$69.68	$104.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $10.98 / $16.84	Professional	26	$8.48	$10.98	$16.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.43 / $58.64 / $88.68	Professional	TC	$44.43	$58.64	$88.68
United Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $57.50 / $88.34	Professional		$45.39	$57.50	$88.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $9.36 / $14.04	Professional	26	$7.66	$9.36	$14.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.34 / $48.12 / $74.77	Professional	TC	$38.34	$48.12	$74.77