Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $213.80 / $398.11	Facility		$51.29	$213.80	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $10.96 / $15.14	Facility	26	$8.13	$10.96	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.14 / $24.55 / $363.08	Facility	TC	$15.14	$24.55	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $63.10	Professional		$18.62	$28.18	$63.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.12 / $38.02	Professional	26	$7.94	$9.12	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $34.67	Professional	TC	$10.96	$16.98	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $28.18	Professional		$16.60	$19.50	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.08 / $13.49	Professional	26	$6.46	$7.08	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $13.49 / $26.30	Professional	TC	$12.30	$13.49	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $354.81	Facility		$100.00	$199.53	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $30.90	Professional		$18.20	$18.62	$30.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $8.91 / $13.80	Professional	26	$8.71	$8.91	$13.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.55 / $9.77 / $17.78	Professional	TC	$9.55	$9.77	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.95 / $32.36	Facility		$10.00	$19.95	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $32.36	Professional		$8.91	$19.05	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.89 / $199.53	Facility		$19.50	$20.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $51.29	Professional		$19.05	$27.54	$51.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $18.62	Professional	26	$7.41	$11.22	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.60 / $34.67	Professional	TC	$10.96	$16.60	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $74.13 / $75.86	Facility		$11.75	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $38.90	Professional		$18.62	$24.55	$38.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.22	Professional	26	$7.94	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $15.14 / $25.12	Professional	TC	$9.77	$15.14	$25.12