Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $213.18 / $543.04	Facility		$53.00	$213.18	$543.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $11.37 / $16.82	Facility	26	$9.98	$11.37	$16.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.64 / $33.04 / $231.97	Facility	TC	$25.64	$33.04	$231.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $38.18 / $66.00	Professional		$32.53	$38.18	$66.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.60 / $10.75 / $22.55	Professional	26	$9.60	$10.75	$22.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.16 / $27.69 / $53.42	Professional	TC	$23.16	$27.69	$53.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $31.47 / $42.56	Professional		$28.61	$31.47	$42.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $8.58 / $14.94	Professional	26	$7.97	$8.58	$14.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $22.71 / $30.71 / $39.79	Professional	TC	$22.71	$30.71	$39.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $187.82 / $200.00	Facility		$34.63	$187.82	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $46.30 / $69.45	Professional		$32.67	$46.30	$69.45
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 $19.77 / $27.28 / $49.79	Professional	TC	$19.77	$27.28	$49.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $30.97 / $48.28	Facility		$10.96	$30.97	$48.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $30.86 / $46.49	Professional		$10.61	$30.86	$46.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $200.00 / $200.00	Facility		$44.36	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $32.44 / $32.44 / $32.44	Facility	TC	$32.44	$32.44	$32.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $46.00 / $81.67	Professional		$33.61	$46.00	$81.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $14.22 / $23.00	Professional	26	$10.15	$14.22	$23.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $32.19 / $57.86	Professional	TC	$22.97	$32.19	$57.86
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 $32.68 / $38.79 / $65.65	Professional		$32.68	$38.79	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $12.07 / $20.01	Professional	26	$10.01	$12.07	$20.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $27.07 / $46.01	Professional	TC	$22.32	$27.07	$46.01