Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $123.03 / $269.15	Facility		$38.02	$123.03	$269.15
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.50 / $8.32 / $11.22	Facility	26	$5.50	$8.32	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $120.23	Professional		$22.91	$33.88	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $14.45 / $42.66	Professional	26	$5.01	$14.45	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.12 / $66.07	Professional	TC	$15.85	$25.12	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $44.67	Professional		$14.79	$20.42	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $3.16 / $7.94	Professional	26	$3.02	$3.16	$7.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $42.66	Professional		$20.42	$22.91	$42.66
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.88 / $16.22	Professional	26	$8.71	$12.88	$16.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $7.94 / $32.36	Professional	TC	$7.08	$7.94	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $31.62 / $42.66	Facility		$8.51	$31.62	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $25.12 / $38.90	Professional		$7.41	$25.12	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $64.57 / $75.86	Facility		$14.45	$64.57	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $1.62 / $7.59 / $10.72	Facility	26	$1.62	$7.59	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $41.69 / $158.49	Professional		$14.79	$41.69	$158.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $8.32 / $57.54	Professional	26	$3.24	$8.32	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $30.90 / $134.90	Professional	TC	$11.48	$30.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $25.12	Facility		$10.00	$15.14	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $63.10	Professional		$28.18	$38.90	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.90 / $7.24 / $13.49	Professional	26	$4.90	$7.24	$13.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $32.36 / $47.86	Professional	TC	$20.89	$32.36	$47.86