Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $239.88 / $363.08	Facility		$41.69	$239.88	$363.08
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 $21.38 / $32.36 / $74.13	Facility	TC	$21.38	$32.36	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $83.18	Professional		$25.70	$42.66	$83.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.02 / $28.84	Professional	26	$7.08	$12.02	$28.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.92 / $47.86	Professional	TC	$19.05	$26.92	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $44.67	Professional		$20.42	$24.55	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $7.94 / $14.45	Professional	26	$6.17	$7.94	$14.45
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $20.89 / $33.11	Professional	TC	$15.14	$20.89	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $199.53 / $354.81	Facility		$30.90	$199.53	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $52.48	Professional		$28.18	$30.90	$52.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.48 / $17.78	Professional	26	$8.91	$11.48	$17.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $19.50 / $36.31	Professional	TC	$19.05	$19.50	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $28.18 / $40.74	Facility		$9.55	$28.18	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $26.92 / $39.81	Professional		$8.71	$26.92	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $199.53 / $199.53	Facility		$53.70	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $67.61	Professional		$28.84	$44.67	$67.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $19.95	Professional	26	$7.24	$11.22	$19.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.84 / $52.48	Professional	TC	$19.50	$28.84	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $74.13 / $75.86	Facility		$22.91	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $52.48	Professional		$26.30	$31.62	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $9.12 / $15.14	Professional	26	$7.59	$9.12	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $22.39 / $36.31	Professional	TC	$18.20	$22.39	$36.31