Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $180.57 / $358.85	Facility		$60.04	$180.57	$358.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.88 / $34.88 / $89.64	Facility	26	$34.88	$34.88	$89.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $71.54 / $230.00	Professional		$60.04	$71.54	$230.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.88 / $41.27 / $82.17	Professional	26	$34.88	$41.27	$82.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $29.86 / $148.65	Professional	TC	$25.17	$29.86	$148.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $42.78 / $50.33	Professional	26	$42.78	$42.78	$50.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $64.75 / $124.97	Facility		$64.18	$64.75	$124.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $156.18 / $223.56	Professional		$55.03	$156.18	$223.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $73.54 / $120.52	Professional	26	$31.27	$73.54	$120.52
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $24.16 / $92.92	Professional	TC	$17.93	$24.16	$92.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $41.94 / $75.70	Facility		$26.15	$41.94	$75.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $40.26 / $72.70	Professional		$26.15	$40.26	$72.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Facility		$35.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $197.33 / $385.95	Professional		$66.42	$197.33	$385.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.07 / $77.29 / $160.41	Professional	26	$39.07	$77.29	$160.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.35 / $120.94 / $219.61	Professional	TC	$27.35	$120.94	$219.61
United Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $1,872.00 / $4,426.00	Facility		$131.12	$1,872.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $122.64 / $329.37	Professional		$62.36	$122.64	$329.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.33 / $65.11 / $123.66	Professional	26	$34.33	$65.11	$123.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.15 / $49.50 / $157.56	Professional	TC	$25.15	$49.50	$157.56