Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $324.33 / $685.01	Facility		$64.56	$324.33	$685.01
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $9.98 / $16.82	Facility	26	$9.98	$9.98	$16.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.12 / $56.50 / $498.69	Facility	TC	$27.12	$56.50	$498.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $38.34 / $76.86	Professional		$33.86	$38.34	$76.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $10.40 / $20.00	Professional	26	$9.36	$10.40	$20.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.49 / $27.48 / $44.64	Professional	TC	$24.49	$27.48	$44.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $32.78 / $45.09	Professional		$32.43	$32.78	$45.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.08 / $12.93	Professional	26	$7.92	$8.08	$12.93
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $40.95 / $40.95 / $40.95	Professional	TC	$40.95	$40.95	$40.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $200.00 / $263.76	Facility		$48.99	$200.00	$263.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $48.99 / $73.48	Professional		$35.94	$48.99	$73.48
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.29 / $14.95 / $20.63	Professional	26	$11.29	$14.95	$20.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.91 / $73.48 / $110.22	Professional	50	$53.91	$73.48	$110.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $34.04 / $51.06	Professional	TC	$24.65	$34.04	$51.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $32.76 / $50.29	Facility		$11.01	$32.76	$50.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $32.64 / $48.43	Professional		$10.61	$32.64	$48.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $200.00 / $200.00	Facility		$46.23	$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 $34.29 / $34.29 / $34.29	Facility	TC	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $46.85 / $82.21	Professional		$35.86	$46.85	$82.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $13.65 / $21.43	Professional	26	$10.25	$13.65	$21.43
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.64 / $49.64 / $56.50	Professional	50	$49.64	$49.64	$56.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $33.65 / $59.48	Professional	TC	$25.43	$33.65	$59.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $40.94 / $72.17	Professional		$35.50	$40.94	$72.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $12.51 / $20.28	Professional	26	$10.05	$12.51	$20.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.59 / $28.87 / $50.74	Professional	TC	$24.59	$28.87	$50.74