Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $240.46 / $367.83	Facility		$42.34	$240.46	$367.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $10.19 / $16.82	Facility	26	$9.98	$10.19	$16.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.25 / $61.09	Professional		$23.99	$33.25	$61.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $10.19 / $20.01	Professional	26	$9.36	$10.19	$20.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.76 / $23.34 / $38.14	Professional	TC	$19.76	$23.34	$38.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $33.08 / $52.93	Professional		$26.46	$33.08	$52.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $9.96 / $15.23	Professional	26	$7.92	$9.96	$15.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $34.68 / $34.68 / $34.68	Professional	TC	$34.68	$34.68	$34.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.52 / $187.82 / $200.00	Facility		$34.52	$187.82	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $34.52 / $55.23	Professional		$30.73	$34.52	$55.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.14	Professional	26	$11.28	$14.60	$20.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $19.92 / $32.29	Professional	TC	$19.14	$19.92	$32.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $27.74 / $44.66	Facility		$10.96	$27.74	$44.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $27.68 / $43.00	Professional		$10.58	$27.68	$43.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $200.00 / $200.00	Facility		$41.01	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $43.86 / $75.43	Professional		$31.57	$43.86	$75.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $14.08 / $23.00	Professional	26	$9.96	$14.08	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.45 / $29.43 / $52.45	Professional	TC	$20.45	$29.43	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $35.99 / $62.66	Professional		$29.87	$35.99	$62.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $11.90 / $20.01	Professional	26	$10.01	$11.90	$20.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $23.80 / $41.71	Professional	TC	$19.63	$23.80	$41.71