Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $31.79 / $161.82	Facility		$15.07	$31.79	$161.82
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.23 / $15.08 / $20.63	Facility	26	$9.23	$15.08	$20.63
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $5.84 / $9.53 / $11.15	Facility	TC	$5.84	$9.53	$11.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $16.18 / $33.08	Professional		$15.07	$16.18	$33.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.09 / $10.43 / $20.63	Professional	26	$9.09	$10.43	$20.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.84 / $6.34 / $13.01	Professional	TC	$5.84	$6.34	$13.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $18.64	Professional		$18.64	$18.64	$18.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $13.98 / $19.64	Professional	26	$7.71	$13.98	$19.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.07 / $24.30	Professional		$8.13	$9.07	$24.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.33 / $5.33 / $17.21	Professional	26	$5.33	$5.33	$17.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.45 / $3.15 / $6.93	Professional	TC	$2.45	$3.15	$6.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $15.65 / $25.59	Facility		$8.89	$15.65	$25.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $14.20 / $25.59	Professional		$8.17	$14.20	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Facility		$34.44	$34.44	$34.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.16 / $21.16 / $21.16	Facility	26	$21.16	$21.16	$21.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $13.30 / $13.30 / $13.30	Facility	TC	$13.30	$13.30	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $19.89 / $31.16	Professional		$9.49	$19.89	$31.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $14.59 / $25.97	Professional	26	$5.68	$14.59	$25.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.56 / $12.00	Professional	TC	$3.72	$5.56	$12.00
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 $13.26 / $20.91 / $37.96	Professional		$13.26	$20.91	$37.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.71 / $12.80 / $24.15	Professional	26	$7.71	$12.80	$24.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.54 / $7.87 / $13.53	Professional	TC	$4.54	$7.87	$13.53