Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,096.48 / $5,623.41	Facility		$398.11	$1,096.48	$5,623.41
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $141.25 / $204.17	Facility	26	$117.49	$141.25	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $758.58	Professional		$363.08	$457.09	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $151.36 / $263.03	Professional	26	$117.49	$151.36	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $281.84 / $436.52	Professional	TC	$239.88	$281.84	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $489.78	Professional		$316.23	$371.54	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $2,951.21	Facility		$977.24	$2,187.76	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $588.84	Professional		$309.03	$371.54	$588.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $154.88 / $239.88	Professional	26	$120.23	$154.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $223.87 / $354.81	Professional	TC	$186.21	$223.87	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $416.87	Facility		$128.82	$257.04	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $416.87	Professional		$131.83	$239.88	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $676.08	Professional		$295.12	$398.11	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $158.49 / $275.42	Professional	26	$117.49	$158.49	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $269.15 / $489.78	Professional	TC	$181.97	$269.15	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $4,265.80	Facility		$562.34	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $645.65	Professional		$309.03	$389.05	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $147.91 / $245.47	Professional	26	$117.49	$147.91	$245.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $239.88 / $416.87	Professional	TC	$194.98	$239.88	$416.87