Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $116.86 / $823.84	Facility		$37.18	$116.86	$823.84
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $10.93 / $19.03	Facility	26	$9.36	$10.93	$19.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.58 / $42.87 / $353.41	Facility	TC	$26.58	$42.87	$353.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $39.84 / $96.20	Professional		$35.95	$39.84	$96.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $10.82 / $21.51	Professional	26	$9.98	$10.82	$21.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.57 / $27.94 / $53.05	Professional	TC	$25.57	$27.94	$53.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $45.09 / $54.11	Professional		$32.78	$45.09	$54.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $11.69 / $12.95	Professional	26	$7.97	$11.69	$12.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $37.02 / $50.32	Professional		$35.94	$37.02	$50.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $11.63 / $15.08	Professional	26	$10.51	$11.63	$15.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.91 / $55.53 / $73.61	Professional	50	$53.91	$55.53	$73.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $25.39 / $36.15	Professional	TC	$24.65	$25.39	$36.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $35.25 / $52.30	Facility		$11.01	$35.25	$52.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $30.03 / $50.50	Professional		$11.11	$30.03	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $46.23 / $197.24	Facility		$46.23	$46.23	$197.24
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 $36.42 / $50.92 / $82.12	Professional		$36.42	$50.92	$82.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $15.79 / $26.02	Professional	26	$10.73	$15.79	$26.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $35.11 / $56.09	Professional	TC	$26.47	$35.11	$56.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $32.34 / $32.34	Professional		$21.23	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $39.59 / $56.59	Professional		$33.54	$39.59	$56.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.08 / $17.32	Professional	26	$10.27	$12.08	$17.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.37 / $28.87 / $43.00	Professional	TC	$23.37	$28.87	$43.00