Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $250.00 / $553.96	Facility		$32.26	$250.00	$553.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.75 / $8.84 / $13.08	Facility	26	$7.75	$8.84	$13.08
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.32 / $21.68 / $58.81	Facility	TC	$17.32	$21.68	$58.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $26.90 / $50.41	Professional		$22.34	$26.90	$50.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $8.13 / $17.43	Professional	26	$7.44	$8.13	$17.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.71 / $18.53 / $34.49	Professional	TC	$15.71	$18.53	$34.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $22.10 / $36.79	Professional		$20.16	$22.10	$36.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $7.94 / $11.61	Professional	26	$6.19	$7.94	$11.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.56 / $26.18 / $27.02	Professional	TC	$23.56	$26.18	$27.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $200.00 / $263.76	Facility		$28.93	$200.00	$263.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $39.92 / $109.66	Professional		$25.85	$39.92	$109.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $11.40 / $15.73	Professional	26	$9.11	$11.40	$15.73
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $24.19 / $94.30	Professional	TC	$16.32	$24.19	$94.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $20.94 / $34.02	Facility		$8.30	$20.94	$34.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $20.92 / $32.76	Professional		$8.13	$20.92	$32.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $200.00 / $200.00	Facility		$31.32	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $22.00 / $22.00 / $22.00	Facility	TC	$22.00	$22.00	$22.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $35.44 / $59.77	Professional		$24.72	$35.44	$59.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $11.10 / $18.23	Professional	26	$7.91	$11.10	$18.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $24.18 / $41.45	Professional	TC	$16.78	$24.18	$41.45
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $29.90 / $50.76	Professional		$24.34	$29.90	$50.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $9.51 / $15.56	Professional	26	$8.03	$9.51	$15.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.55 / $20.26 / $35.28	Professional	TC	$16.55	$20.26	$35.28