Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $227.50 / $448.87	Facility		$51.80	$227.50	$448.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $9.21 / $11.01	Facility	26	$8.08	$9.21	$11.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.27 / $31.82 / $355.33	Facility	TC	$15.27	$31.82	$355.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.35 / $39.40	Professional		$17.78	$23.35	$39.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $8.69 / $19.20	Professional	26	$7.94	$8.69	$19.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.74 / $15.27 / $20.10	Professional	TC	$9.74	$15.27	$20.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $20.55 / $20.55	Professional		$19.53	$20.55	$20.55
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $6.92 / $12.11	Professional	26	$6.45	$6.92	$12.11
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $12.55 / $12.55 / $12.55	Professional	TC	$12.55	$12.55	$12.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $187.82 / $200.00	Facility		$18.46	$187.82	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.46 / $28.61	Professional		$18.30	$18.46	$28.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $8.73 / $13.53	Professional	26	$8.73	$8.73	$13.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.48 / $9.73 / $15.47	Professional	TC	$9.48	$9.73	$15.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $18.44 / $31.62	Facility		$8.63	$18.44	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $18.43 / $30.46	Professional		$8.47	$18.43	$30.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $200.00 / $200.00	Facility		$29.01	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $19.39 / $19.39 / $19.39	Facility	TC	$19.39	$19.39	$19.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $26.27 / $50.77	Professional		$20.19	$26.27	$50.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.05 / $10.79 / $16.92	Professional	26	$8.05	$10.79	$16.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.90 / $15.69 / $33.08	Professional	TC	$10.90	$15.69	$33.08
United Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $194.81 / $194.81	Facility		$194.81	$194.81	$194.81
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $25.20 / $44.23	Professional		$18.84	$25.20	$44.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.96 / $16.21	Professional	26	$8.38	$9.96	$16.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.81 / $15.77 / $26.56	Professional	TC	$9.81	$15.77	$26.56