Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.27 / $314.61 / $521.92	Facility		$75.27	$314.61	$521.92
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $11.97 / $482.20	Facility	26	$9.98	$11.97	$482.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.94 / $37.85 / $475.21	Facility	TC	$25.94	$37.85	$475.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $40.90 / $75.00	Professional		$32.79	$40.90	$75.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $10.75 / $23.69	Professional	26	$9.59	$10.75	$23.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $28.27 / $55.00	Professional	TC	$23.43	$28.27	$55.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $31.47 / $57.22	Professional		$28.61	$31.47	$57.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.56 / $14.94	Professional	26	$7.97	$9.56	$14.94
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $27.46 / $38.72 / $39.79	Professional	TC	$27.46	$38.72	$39.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $200.00 / $263.76	Facility		$38.65	$200.00	$263.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $39.60 / $59.90	Professional		$34.61	$39.60	$59.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.17	Professional	26	$11.28	$14.60	$20.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.97 / $25.00 / $37.27	Professional	TC	$22.97	$25.00	$37.27
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 $10.58 / $30.82 / $46.49	Professional		$10.58	$30.82	$46.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $200.00 / $200.00	Facility		$44.74	$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 $32.79 / $32.79 / $32.79	Facility	TC	$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $47.89 / $81.53	Professional		$34.29	$47.89	$81.53
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 $24.37 / $33.47 / $58.54	Professional	TC	$24.37	$33.47	$58.54
United Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $39.04 / $65.65	Professional		$32.83	$39.04	$65.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $12.13 / $20.01	Professional	26	$9.96	$12.13	$20.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.31 / $27.01 / $46.01	Professional	TC	$22.31	$27.01	$46.01