Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $281.84 / $457.09	Facility		$50.12	$281.84	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $10.47 / $14.45	Facility	26	$7.76	$10.47	$14.45
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.38 / $32.36 / $389.05	Facility	TC	$21.38	$32.36	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $36.31 / $97.72	Professional		$10.96	$36.31	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $14.45 / $42.66	Professional	26	$7.24	$14.45	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.12 / $97.72 / $186.21	Professional	50	$25.12	$97.72	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $35.48 / $67.61	Professional	TC	$19.50	$35.48	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $45.71	Professional		$20.89	$26.92	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.76 / $13.18	Professional	26	$6.17	$6.76	$13.18
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $36.31 / $70.79	Professional	50	$32.36	$36.31	$70.79
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $22.91 / $38.90	Professional	TC	$16.22	$22.91	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $199.53 / $354.81	Facility		$33.88	$199.53	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $53.70	Professional		$29.51	$32.36	$53.70
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 50 Low / Median / High Price $44.67 / $48.98 / $79.43	Professional	50	$44.67	$48.98	$79.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $21.38 / $37.15	Professional	TC	$20.89	$21.38	$37.15
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 $28.84 / $44.67 / $81.28	Facility		$28.84	$44.67	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $75.86	Professional		$26.92	$40.74	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $18.62	Professional	26	$7.24	$11.22	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $29.51 / $56.23	Professional	TC	$19.95	$29.51	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $74.13 / $75.86	Facility		$23.99	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $54.95	Professional		$28.18	$33.88	$54.95
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 $19.50 / $24.55 / $39.81	Professional	TC	$19.50	$24.55	$39.81