Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $259.39 / $588.42	Facility		$30.14	$259.39	$588.42
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.50 / $10.19 / $17.25	Facility	26	$8.50	$10.19	$17.25
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.19 / $38.92 / $449.55	Facility	TC	$20.19	$38.92	$449.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $35.84 / $129.01	Professional		$29.64	$35.84	$129.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $11.36 / $34.20	Professional	26	$9.02	$11.36	$34.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.64 / $23.80 / $43.05	Professional	TC	$18.64	$23.80	$43.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $28.90 / $43.35	Professional		$23.80	$28.90	$43.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.23 / $9.99 / $11.74	Professional	26	$7.23	$9.99	$11.74
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $19.87 / $21.08 / $21.96	Professional	TC	$19.87	$21.08	$21.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $33.21 / $56.14	Professional		$28.23	$33.21	$56.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.80 / $19.05	Professional	26	$9.86	$11.80	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.35 / $21.59 / $36.09	Professional	TC	$18.35	$21.59	$36.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $26.82 / $41.91	Facility		$9.98	$26.82	$41.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $22.85 / $40.46	Professional		$10.36	$22.85	$40.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $197.24	Facility		$36.90	$36.90	$197.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $45.46 / $72.00	Professional		$29.74	$45.46	$72.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.17 / $15.69 / $22.71	Professional	26	$10.17	$15.69	$22.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.39 / $30.93 / $49.42	Professional	TC	$21.39	$30.93	$49.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $32.34 / $32.34	Professional		$18.30	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $35.22 / $48.18	Professional		$28.47	$35.22	$48.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $11.16 / $15.71	Professional	26	$9.32	$11.16	$15.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.14 / $32.47	Professional	TC	$18.82	$23.14	$32.47