Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $181.97 / $354.81	Facility		$60.26	$181.97	$354.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $41.69 / $60.26	Facility	26	$34.67	$41.69	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $281.84	Professional		$58.88	$85.11	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.77 / $107.15	Professional	26	$33.11	$46.77	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.88 / $162.18	Professional	TC	$25.12	$33.88	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $46.77	Professional		$23.44	$30.20	$46.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $39.81 / $63.10	Professional	26	$29.51	$39.81	$63.10
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $16.60 / $16.60	Professional	TC	$16.60	$16.60	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $398.11 / $524.81	Facility		$64.57	$398.11	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $147.91 / $263.03	Professional		$64.57	$147.91	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $72.44 / $141.25	Professional	26	$37.15	$72.44	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $93.33	Professional	TC	$20.89	$28.84	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $41.69 / $77.62	Facility		$26.92	$41.69	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $77.62	Professional		$26.92	$41.69	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $407.38	Professional		$79.43	$229.09	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $72.44 / $162.18	Professional	26	$38.02	$72.44	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $54.95 / $199.53	Professional	TC	$25.70	$54.95	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,137.96 / $5,754.40	Facility		$131.83	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $309.03	Professional		$61.66	$125.89	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $67.61 / $123.03	Professional	26	$35.48	$67.61	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $53.70 / $169.82	Professional	TC	$26.30	$53.70	$169.82