Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.14 / $316.99 / $597.48	Facility		$83.14	$316.99	$597.48
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $11.37 / $570.44	Facility	26	$9.98	$11.37	$570.44
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.15 / $42.19 / $255.97	Facility	TC	$32.15	$42.19	$255.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $44.10 / $86.06	Professional		$20.00	$44.10	$86.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $10.47 / $24.65	Professional	26	$9.80	$10.47	$24.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $33.70 / $65.33	Professional	TC	$27.55	$33.70	$65.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $42.92 / $64.38	Professional		$34.34	$42.92	$64.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $9.96 / $15.23	Professional	26	$7.97	$9.96	$15.23
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.07 / $49.44 / $50.76	Professional	TC	$35.07	$49.44	$50.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $187.82 / $200.00	Facility		$50.72	$187.82	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $50.72 / $76.08	Professional		$32.72	$50.72	$76.08
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.66 / $14.52 / $20.03	Professional	26	$9.66	$14.52	$20.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.08 / $76.08 / $114.12	Professional	50	$49.08	$76.08	$114.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.07 / $36.21 / $54.31	Professional	TC	$23.07	$36.21	$54.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $39.54 / $57.94	Facility		$10.96	$39.54	$57.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $39.29 / $55.80	Professional		$10.58	$39.29	$55.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $200.00 / $200.00	Facility		$53.31	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $41.38 / $41.38 / $41.38	Facility	TC	$41.38	$41.38	$41.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $50.55 / $91.32	Professional		$40.26	$50.55	$91.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $13.29 / $20.81	Professional	26	$10.25	$13.29	$20.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.69 / $36.52 / $69.19	Professional	TC	$29.69	$36.52	$69.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $45.83 / $77.91	Professional		$38.71	$45.83	$77.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $12.17 / $20.01	Professional	26	$9.96	$12.17	$20.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.69 / $33.44 / $57.84	Professional	TC	$27.69	$33.44	$57.84