Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.10 / $65.55 / $196.04	Facility		$40.10	$65.55	$196.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.81 / $37.28 / $50.90	Facility	26	$22.81	$37.28	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $41.01 / $65.55	Professional		$34.84	$41.01	$65.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.61 / $24.96 / $37.28	Professional	26	$22.61	$24.96	$37.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.88 / $17.29 / $21.89	Professional	TC	$9.88	$17.29	$21.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $33.74 / $33.74	Professional		$33.74	$33.74	$33.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $19.05 / $28.16	Professional	26	$19.05	$19.05	$28.16
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $14.69 / $14.69 / $14.69	Professional	TC	$14.69	$14.69	$14.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $21.02 / $53.97	Professional		$21.02	$21.02	$53.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $13.10 / $41.92	Professional	26	$13.10	$13.10	$41.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.93 / $8.16 / $13.73	Professional	TC	$6.93	$8.16	$13.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $49.87 / $70.17	Facility		$28.74	$49.87	$70.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $34.51 / $64.00	Professional		$25.55	$34.51	$64.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.92 / $84.92 / $84.92	Facility		$84.92	$84.92	$84.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.70 / $45.70 / $45.70	Facility	26	$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $46.13 / $79.81	Professional		$25.18	$46.13	$79.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.04 / $35.83 / $62.88	Professional	26	$14.04	$35.83	$62.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.68 / $11.31 / $33.45	Professional	TC	$9.68	$11.31	$33.45
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 $31.66 / $52.76 / $83.37	Professional		$31.66	$52.76	$83.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $31.17 / $49.74	Professional	26	$22.37	$31.17	$49.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.46 / $20.17 / $34.65	Professional	TC	$7.46	$20.17	$34.65