Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.76 / $27.77 / $33.70	Facility	26	$27.76	$27.77	$33.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $50.14 / $73.00	Professional		$40.27	$50.14	$73.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.85 / $27.77 / $41.71	Professional	26	$23.85	$27.77	$41.71
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.11 / $54.11 / $54.11	Professional	52	$54.11	$54.11	$54.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $22.67 / $26.84	Professional	TC	$17.41	$22.67	$26.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $34.72 / $60.69	Professional		$31.95	$34.72	$60.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.15 / $25.38 / $33.15	Professional	26	$21.15	$25.38	$33.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $56.37 / $84.55	Professional		$51.87	$56.37	$84.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $31.35 / $47.59	Professional	26	$29.45	$31.35	$47.59
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.42 / $25.02 / $37.53	Professional	TC	$22.42	$25.02	$37.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $30.51 / $51.83	Professional		$14.72	$30.51	$51.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.40 / $32.40 / $32.40	Facility	26	$32.40	$32.40	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $112.41	Professional		$39.28	$39.28	$112.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $57.32	Professional	26	$25.29	$25.29	$57.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $49.88	Professional	TC	$13.99	$13.99	$49.88
United Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $63.07 / $97.62	Professional		$48.15	$63.07	$97.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.97 / $34.90 / $54.22	Professional	26	$26.97	$34.90	$54.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.98 / $28.15 / $43.66	Professional	TC	$21.98	$28.15	$43.66