Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.40 / $682.50 / $3,740.00	Facility		$181.40	$682.50	$3,740.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.57 / $40.10 / $99.98	Facility	26	$39.57	$40.10	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $194.00 / $316.49	Professional		$155.86	$194.00	$316.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $46.83 / $76.70	Professional	26	$39.32	$46.83	$76.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $118.89 / $154.05 / $228.32	Professional	TC	$118.89	$154.05	$228.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Professional		$172.00	$172.00	$172.00
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 $99.95 / $136.54 / $253.16	Professional		$99.95	$136.54	$253.16
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.54 / $44.67 / $89.67	Professional	26	$36.54	$44.67	$89.67
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.40 / $83.89 / $179.14	Professional	TC	$63.40	$83.89	$179.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.92 / $145.91 / $209.58	Facility		$44.92	$145.91	$209.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $124.29 / $202.36	Professional		$41.31	$124.29	$202.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.39 / $211.39 / $233.47	Facility		$211.39	$211.39	$233.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.04 / $45.04 / $45.04	Facility	26	$45.04	$45.04	$45.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $209.06 / $419.17	Professional		$145.74	$209.06	$419.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $66.20 / $122.84	Professional	26	$39.90	$66.20	$122.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.99 / $141.03 / $311.85	Professional	TC	$89.99	$141.03	$311.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $138.88 / $212.18 / $312.54	Professional		$138.88	$212.18	$312.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.40 / $65.23 / $89.11	Professional	26	$41.40	$65.23	$89.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.61 / $149.21 / $228.41	Professional	TC	$99.61	$149.21	$228.41