Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $346.74 / $758.58	Facility		$75.86	$346.74	$758.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $54.95 / $134.90	Facility	26	$38.90	$54.95	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $316.23	Professional		$57.54	$87.10	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $50.12 / $134.90	Professional	26	$33.88	$50.12	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $165.96	Professional	TC	$25.12	$37.15	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $60.26	Professional		$23.44	$30.20	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $42.66 / $67.61	Professional	26	$34.67	$42.66	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $251.19	Professional		$75.86	$173.78	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $83.18 / $117.49	Professional	26	$42.66	$83.18	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $91.20 / $144.54	Professional	TC	$31.62	$91.20	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $41.69 / $81.28	Facility		$24.55	$41.69	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $77.62	Professional		$25.70	$39.81	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $104.71	Facility		$34.67	$104.71	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $239.88 / $1,122.02	Professional		$75.86	$239.88	$1,122.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $109.65 / $489.78	Professional	26	$42.66	$109.65	$489.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $154.88 / $446.68	Professional	TC	$30.20	$154.88	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.11 / $75.86	Professional		$11.48	$33.11	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $154.88 / $302.00	Professional		$63.10	$154.88	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $79.43 / $123.03	Professional	26	$38.02	$79.43	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $64.57 / $181.97	Professional	TC	$26.30	$64.57	$181.97