Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $199.53 / $371.54	Facility		$51.29	$199.53	$371.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $10.23 / $13.49	Facility	26	$8.13	$10.23	$13.49
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $18.62 / $28.18 / $229.09	Facility	TC	$18.62	$28.18	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $89.13	Professional		$24.55	$39.81	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $38.90	Professional	26	$7.94	$11.75	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $27.54 / $48.98	Professional	TC	$16.98	$27.54	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $40.74	Professional		$19.05	$22.91	$40.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.41 / $13.49	Professional	26	$6.46	$7.41	$13.49
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $19.50 / $31.62	Professional	TC	$14.45	$19.50	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $354.81	Facility		$186.21	$199.53	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $40.74	Professional		$25.12	$25.70	$40.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $8.91 / $14.13	Professional	26	$8.71	$8.91	$14.13
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $16.60 / $26.92	Professional	TC	$16.22	$16.60	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $38.02	Facility		$10.00	$24.55	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $23.44 / $37.15	Professional		$8.91	$23.44	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $199.53	Facility		$26.92	$28.84	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $58.88	Professional		$23.44	$35.48	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.48 / $18.62	Professional	26	$7.41	$11.48	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.99 / $43.65	Professional	TC	$16.98	$23.99	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $74.13 / $75.86	Facility		$19.95	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $47.86	Professional		$25.12	$29.51	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.77 / $16.22	Professional	26	$7.94	$9.77	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $19.95 / $32.36	Professional	TC	$16.60	$19.95	$32.36