Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $123.32 / $448.24	Facility		$28.50	$123.32	$448.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.31 / $8.77 / $14.87	Facility	26	$7.31	$8.77	$14.87
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.71 / $23.24 / $123.32	Facility	TC	$20.71	$23.24	$123.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $32.42 / $118.15	Professional		$26.75	$32.42	$118.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.13 / $18.57	Professional	26	$7.33	$8.13	$18.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $22.39 / $43.93	Professional	TC	$19.44	$22.39	$43.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $31.49 / $42.75	Professional		$21.33	$31.49	$42.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $9.08 / $10.11	Professional	26	$6.22	$9.08	$10.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $29.12 / $46.09	Professional		$24.75	$29.12	$46.09
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.42 / $14.91	Professional	26	$7.98	$9.42	$14.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $19.69 / $32.29	Professional	TC	$16.73	$19.69	$32.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $27.97 / $41.33	Facility		$8.67	$27.97	$41.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $23.83 / $39.90	Professional		$8.90	$23.83	$39.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $163.03	Facility		$36.53	$36.53	$163.03
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 $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $41.57 / $62.95	Professional		$27.90	$41.57	$62.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.38 / $19.73	Professional	26	$8.27	$12.38	$19.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $29.55 / $44.57	Professional	TC	$20.01	$29.55	$44.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $32.34 / $32.34	Professional		$16.07	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $31.14 / $47.64	Professional		$25.71	$31.14	$47.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.59 / $16.88	Professional	26	$7.78	$9.59	$16.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $21.63 / $31.83	Professional	TC	$18.14	$21.63	$31.83