Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $100.00 / $446.68	Facility		$26.30	$100.00	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $9.77 / $15.14	Facility	26	$8.13	$9.77	$15.14
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $17.38 / $27.54 / $302.00	Facility	TC	$17.38	$27.54	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $81.28	Professional		$22.91	$36.31	$81.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.48 / $34.67	Professional	26	$7.59	$11.48	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $39.81	Professional	TC	$15.14	$20.89	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $38.90	Professional		$17.78	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $8.51 / $13.18	Professional	26	$6.31	$8.51	$13.18
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.50 / $34.67	Professional	TC	$15.85	$19.50	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $51.29	Professional		$25.70	$28.84	$51.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.00 / $16.60	Professional	26	$9.33	$10.00	$16.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $18.20 / $35.48	Professional	TC	$16.22	$18.20	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $22.39 / $36.31	Facility		$8.51	$22.39	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $19.05 / $33.11	Professional		$8.51	$19.05	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $43.65	Facility		$19.05	$43.65	$43.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $4.57 / $21.38 / $30.20	Facility	TC	$4.57	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $131.83	Professional		$24.55	$42.66	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $14.79 / $41.69	Professional	26	$8.32	$14.79	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $30.90 / $91.20	Professional	TC	$17.38	$30.90	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $32.36 / $33.11	Professional		$14.13	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $45.71	Professional		$23.99	$28.84	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.33 / $14.45	Professional	26	$7.76	$9.33	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $19.50 / $30.90	Professional	TC	$15.85	$19.50	$30.90