Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $76.45 / $476.69	Facility		$62.11	$76.45	$476.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.89 / $37.36 / $95.57	Facility	26	$36.89	$37.36	$95.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $120.40 / $319.77	Professional		$60.04	$120.40	$319.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.57 / $67.03 / $106.15	Professional	26	$36.57	$67.03	$106.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.98 / $51.89 / $163.52	Professional	TC	$25.98	$51.89	$163.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $173.03 / $235.88	Professional		$65.67	$173.03	$235.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.96 / $76.73 / $108.25	Professional	26	$36.96	$76.73	$108.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.47 / $90.21 / $137.47	Professional	TC	$27.47	$90.21	$137.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $43.15 / $80.54	Facility		$24.50	$43.15	$80.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $40.35 / $80.34	Professional		$25.92	$40.35	$80.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $71.95 / $178.62	Facility		$71.95	$71.95	$178.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.98 / $41.98 / $41.98	Facility	26	$41.98	$41.98	$41.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $196.35 / $368.81	Professional		$66.38	$196.35	$368.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.06 / $82.48 / $154.71	Professional	26	$37.06	$82.48	$154.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.35 / $120.94 / $217.42	Professional	TC	$27.35	$120.94	$217.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $32.34 / $78.47	Professional		$11.43	$32.34	$78.47
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $137.63 / $309.16	Professional		$63.91	$137.63	$309.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.96 / $74.90 / $109.40	Professional	26	$37.96	$74.90	$109.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $53.45 / $173.16	Professional	TC	$26.50	$53.45	$173.16