Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $250.00 / $492.41	Facility		$41.06	$250.00	$492.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $9.21 / $11.30	Facility	26	$8.08	$9.21	$11.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.86 / $28.63 / $80.95	Facility	TC	$23.86	$28.63	$80.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $31.95 / $58.91	Professional		$13.30	$31.95	$58.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.06 / $8.57 / $24.64	Professional	26	$8.06	$8.57	$24.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $23.96 / $39.28	Professional	TC	$20.96	$23.96	$39.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $28.04 / $38.86	Professional		$25.67	$28.04	$38.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.44 / $8.42 / $12.11	Professional	26	$6.44	$8.42	$12.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $76.98 / $76.98 / $76.98	Professional	50	$76.98	$76.98	$76.98
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $37.06 / $37.06 / $37.06	Professional	TC	$37.06	$37.06	$37.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $187.82 / $200.00	Facility		$39.76	$187.82	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $39.76 / $59.64	Professional		$27.63	$39.76	$59.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $12.21 / $16.84	Professional	26	$8.77	$12.21	$16.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.44 / $59.64 / $89.46	Professional	50	$41.44	$59.64	$89.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.97 / $27.55 / $41.32	Professional	TC	$18.97	$27.55	$41.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.88 / $28.82 / $43.31	Facility		$8.88	$28.82	$43.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $27.62 / $41.70	Professional		$8.47	$27.62	$41.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $200.00 / $200.00	Facility		$39.89	$200.00	$200.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	TC	$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $38.65 / $70.48	Professional		$30.17	$38.65	$70.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $11.22 / $17.54	Professional	26	$8.30	$11.22	$17.54
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.28 / $43.28 / $49.18	Professional	50	$43.28	$43.28	$49.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $27.77 / $53.13	Professional	TC	$21.99	$27.77	$53.13
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $35.01 / $59.52	Professional		$29.76	$35.01	$59.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.40 / $10.22 / $16.44	Professional	26	$8.40	$10.22	$16.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $25.59 / $43.57	Professional	TC	$21.03	$25.59	$43.57