Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $79.14 / $321.62	Facility		$9.24	$79.14	$321.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $33.67 / $98.13	Facility	26	$20.60	$33.67	$98.13
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.81 / $45.47 / $76.73	Facility	TC	$27.81	$45.47	$76.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $52.96 / $109.47	Professional		$47.74	$52.96	$109.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $25.45 / $54.96	Professional	26	$20.07	$25.45	$54.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.66 / $35.20 / $52.54	Professional	TC	$27.66	$35.20	$52.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $41.29 / $41.29	Professional		$41.29	$41.29	$41.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $25.27 / $34.90	Professional	26	$17.20	$25.27	$34.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $40.98 / $150.83	Professional		$40.98	$40.98	$150.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $22.46 / $82.88	Professional	26	$22.46	$22.46	$82.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $18.52 / $67.95	Professional	TC	$18.52	$18.52	$67.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $48.86 / $83.78	Facility		$30.28	$48.86	$83.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $45.37 / $83.78	Professional		$29.67	$45.37	$83.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $173.88 / $173.88	Facility		$173.88	$173.88	$173.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.18 / $97.18 / $97.18	Facility	26	$97.18	$97.18	$97.18
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $76.69 / $76.69 / $76.69	Facility	TC	$76.69	$76.69	$76.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $85.51 / $182.78	Professional		$30.89	$85.51	$182.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $36.67 / $104.64	Professional	26	$12.67	$36.67	$104.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.14 / $52.14 / $78.14	Professional	TC	$18.14	$52.14	$78.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $75.43 / $147.16	Professional		$61.36	$75.43	$147.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $43.31 / $65.43	Professional	26	$27.50	$43.31	$65.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.68 / $43.66 / $73.68	Professional	TC	$24.68	$43.66	$73.68