Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $281.20 / $446.40	Facility		$29.98	$281.20	$446.40
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.01 / $8.17 / $13.70	Facility	26	$7.01	$8.17	$13.70
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 $21.78 / $31.57 / $114.71	Professional		$21.78	$31.57	$114.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $8.94 / $34.85	Professional	26	$7.43	$8.94	$34.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $22.18 / $42.04	Professional	TC	$19.44	$22.18	$42.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.44 / $30.94	Professional		$20.89	$24.44	$30.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $7.12 / $8.96	Professional	26	$5.70	$7.12	$8.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $28.82 / $47.71	Professional		$24.50	$28.82	$47.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $9.42 / $14.85	Professional	26	$7.78	$9.42	$14.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $19.39 / $32.86	Professional	TC	$16.48	$19.39	$32.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $27.89 / $40.44	Facility		$8.01	$27.89	$40.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $23.83 / $39.04	Professional		$8.01	$23.83	$39.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $163.03	Facility		$35.79	$35.79	$163.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
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 $27.79 / $41.54 / $62.95	Professional		$27.79	$41.54	$62.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $11.87 / $19.52	Professional	26	$7.95	$11.87	$19.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $28.02 / $45.29	Professional	TC	$19.64	$28.02	$45.29
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 $25.41 / $31.62 / $47.64	Professional		$25.41	$31.62	$47.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.11 / $12.99	Professional	26	$7.53	$9.11	$12.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.82 / $22.05 / $36.96	Professional	TC	$17.82	$22.05	$36.96