Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $251.19 / $371.54	Facility		$44.67	$251.19	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $13.80 / $17.38	Facility	26	$10.00	$13.80	$17.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $87.10	Professional		$19.95	$33.88	$87.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.98 / $37.15	Professional	26	$8.91	$16.98	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $50.12	Professional	TC	$19.95	$26.92	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $52.48	Professional		$22.39	$26.92	$52.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.98	Professional	26	$7.94	$9.77	$16.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $26.92	Professional	TC	$16.60	$20.89	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $354.81	Facility		$34.67	$199.53	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $57.54	Professional		$30.90	$34.67	$57.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $22.91	Professional	26	$11.22	$14.45	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $19.95 / $37.15	Professional	TC	$19.50	$19.95	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $45.71	Facility		$12.30	$30.20	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $28.84 / $45.71	Professional		$11.22	$28.84	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $87.10	Facility		$20.89	$48.98	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $79.43	Professional		$29.51	$44.67	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $23.44	Professional	26	$9.12	$14.13	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.20 / $54.95	Professional	TC	$20.42	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $74.13 / $75.86	Facility		$22.91	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $57.54	Professional		$29.51	$36.31	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.48 / $19.50	Professional	26	$9.77	$11.48	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $23.99 / $38.90	Professional	TC	$19.05	$23.99	$38.90