Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $200.19 / $399.30	Facility		$38.68	$200.19	$399.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $8.33 / $13.64	Facility	26	$8.08	$8.33	$13.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.16 / $31.12 / $84.36	Facility	TC	$24.16	$31.12	$84.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $33.50 / $40.93	Professional		$29.45	$33.50	$40.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $9.52 / $17.00	Professional	26	$7.74	$9.52	$17.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $24.91 / $30.44	Professional	TC	$21.80	$24.91	$30.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $28.30 / $28.30	Professional		$26.82	$28.30	$28.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $9.68 / $12.11	Professional	26	$6.45	$9.68	$12.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $200.00 / $263.76	Facility		$37.99	$200.00	$263.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $37.99 / $60.40	Professional		$32.38	$37.99	$60.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $16.00 / $22.08	Professional	26	$12.16	$16.00	$22.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $21.99 / $35.18	Professional	TC	$21.06	$21.99	$35.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $29.17 / $43.71	Facility		$8.63	$29.17	$43.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $28.54 / $42.09	Professional		$8.47	$28.54	$42.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $200.00 / $200.00	Facility		$40.26	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.58 / $30.58 / $30.58	Facility	TC	$30.58	$30.58	$30.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $45.42 / $75.31	Professional		$32.42	$45.42	$75.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.65 / $25.50	Professional	26	$8.51	$13.65	$25.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.66 / $31.57 / $54.49	Professional	TC	$22.66	$31.57	$54.49
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $37.04 / $64.95	Professional		$31.59	$37.04	$64.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.74 / $12.47 / $19.27	Professional	26	$9.74	$12.47	$19.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.39 / $25.62 / $44.28	Professional	TC	$21.39	$25.62	$44.28