Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $234.42 / $416.87	Facility		$36.31	$234.42	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.47 / $13.80	Facility	26	$7.76	$10.47	$13.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $25.12 / $61.66	Facility	TC	$17.38	$25.12	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $77.62	Professional		$21.88	$38.02	$77.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $30.20	Professional	26	$7.08	$10.96	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $41.69	Professional	TC	$15.14	$21.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $41.69	Professional		$17.78	$21.38	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.08 / $12.02	Professional	26	$6.17	$7.08	$12.02
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.20 / $34.67	Professional	TC	$14.45	$18.20	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $263.03 / $426.58	Facility		$28.84	$263.03	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $114.82	Professional		$25.70	$42.66	$114.82
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.48 / $17.78	Professional	26	$8.71	$11.48	$17.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $26.30 / $95.50	Professional	TC	$16.22	$26.30	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $22.91 / $35.48	Facility		$9.55	$22.91	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $21.38 / $34.67	Professional		$8.71	$21.38	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $199.53 / $199.53	Facility		$57.54	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $58.88	Professional		$24.55	$40.74	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $18.62	Professional	26	$7.41	$11.22	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $24.55 / $46.77	Professional	TC	$16.22	$24.55	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $89.13 / $91.20	Facility		$21.38	$89.13	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $47.86	Professional		$23.99	$30.20	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.33 / $15.49	Professional	26	$7.59	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.95 / $33.11	Professional	TC	$16.22	$19.95	$33.11