Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $61.66 / $346.74	Facility		$10.23	$61.66	$346.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $12.59	Facility	26	$7.08	$7.08	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $36.31	Professional		$9.55	$15.14	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $24.55	Professional	26	$6.03	$8.32	$24.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.29 / $3.72 / $6.92	Professional	TC	$2.29	$3.72	$6.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $14.79	Professional		$8.13	$8.71	$14.79
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.96	Professional	26	$10.23	$10.23	$10.96
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.02 / $3.02	Professional	TC	$3.02	$3.02	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $346.74 / $346.74	Facility		$4.07	$346.74	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $23.44	Professional		$12.02	$14.45	$23.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.02 / $18.62	Professional	26	$8.71	$12.02	$18.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.78 / $21.88 / $34.67	Professional	50	$17.78	$21.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $3.47 / $4.47	Professional	TC	$2.57	$3.47	$4.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $9.12 / $14.45	Facility		$3.89	$9.12	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $8.51 / $13.18	Professional		$3.47	$8.51	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.22 / $30.90	Facility		$12.88	$16.22	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $26.92	Professional		$10.00	$15.14	$26.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $10.72 / $17.78	Professional	26	$6.61	$10.72	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.63 / $4.37 / $8.91	Professional	TC	$2.63	$4.37	$8.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $20.42 / $21.38	Facility		$10.23	$20.42	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $20.89	Professional		$10.47	$13.49	$20.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $9.55 / $14.45	Professional	26	$7.24	$9.55	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $4.07 / $6.46	Professional	TC	$2.95	$4.07	$6.46