Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $62.88 / $314.58	Facility		$32.22	$62.88	$314.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.62 / $12.22 / $15.48	Facility	26	$7.62	$12.22	$15.48
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.83 / $25.28 / $138.50	Facility	TC	$21.83	$25.28	$138.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $37.21 / $64.58	Professional		$30.38	$37.21	$64.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $11.28 / $29.48	Professional	26	$8.08	$11.28	$29.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $25.92 / $47.26	Professional	TC	$22.79	$25.92	$47.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $9.68 / $10.13	Professional	26	$6.45	$9.68	$10.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $34.56 / $59.72	Professional		$29.37	$34.56	$59.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.22 / $12.52 / $21.10	Professional	26	$10.22	$12.52	$21.10
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.72 / $22.03 / $37.39	Professional	TC	$18.72	$22.03	$37.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $31.38 / $45.50	Facility		$8.96	$31.38	$45.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $26.76 / $43.93	Professional		$8.94	$26.76	$43.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $197.24	Facility		$40.26	$40.26	$197.24
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 $32.65 / $49.07 / $73.81	Professional		$32.65	$49.07	$73.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $15.88 / $25.35	Professional	26	$10.16	$15.88	$25.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $32.45 / $51.55	Professional	TC	$23.03	$32.45	$51.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $32.34 / $32.34	Professional		$17.47	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $37.34 / $54.14	Professional		$30.36	$37.34	$54.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $11.94 / $16.89	Professional	26	$9.42	$11.94	$16.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.32 / $25.62 / $38.43	Professional	TC	$20.32	$25.62	$38.43