Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.63 / $42.63 / $51.15	Facility	26	$42.63	$42.63	$51.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $96.43 / $290.00	Professional		$84.00	$96.43	$290.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.82 / $44.33 / $82.00	Professional	26	$40.82	$44.33	$82.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.26 / $298.26 / $298.26	Professional	50	$298.26	$298.26	$298.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $48.29 / $58.53	Professional	TC	$39.92	$48.29	$58.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $118.93 / $136.77	Professional		$79.29	$118.93	$136.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.51 / $57.67 / $69.31	Professional	26	$38.51	$57.67	$69.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $153.44 / $153.44 / $153.44	Professional	50	$153.44	$153.44	$153.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $87.33 / $126.69	Professional		$68.04	$87.33	$126.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.19 / $47.23 / $68.55	Professional	26	$35.19	$47.23	$68.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.15 / $40.10 / $58.26	Professional	TC	$30.15	$40.10	$58.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $54.80 / $106.56	Professional		$43.48	$54.80	$106.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $112.73 / $183.09	Professional		$91.99	$112.73	$183.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.15 / $57.89 / $94.93	Professional	26	$43.15	$57.89	$94.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.85 / $55.94 / $88.62	Professional	TC	$42.85	$55.94	$88.62
United Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $99.25 / $163.08	Professional		$79.40	$99.25	$163.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.10 / $50.60 / $82.70	Professional	26	$40.10	$50.60	$82.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.53 / $51.30 / $81.76	Professional	TC	$40.53	$51.30	$81.76