Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $83.18 / $102.33	Facility	26	$64.57	$83.18	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $758.58	Professional		$134.90	$316.23	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $125.89 / $316.23	Professional	26	$64.57	$125.89	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $707.95 / $1,862.09	Professional	50	$229.09	$707.95	$1,862.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $257.04 / $524.81	Professional	TC	$162.18	$257.04	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $245.47	Professional		$158.49	$173.78	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.12 / $100.00	Professional	26	$47.86	$50.12	$100.00
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $173.78 / $812.83	Professional	TC	$104.71	$173.78	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $602.56	Professional		$309.03	$371.54	$602.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $72.44 / $102.33	Professional	26	$60.26	$72.44	$102.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $562.34 / $891.25	Professional	50	$457.09	$562.34	$891.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $309.03 / $512.86	Professional	TC	$239.88	$309.03	$512.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $177.83 / $275.42	Professional		$67.61	$177.83	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $549.54 / $912.01	Professional		$239.88	$549.54	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $165.96	Professional	26	$54.95	$85.11	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $346.74 / $741.31	Professional	TC	$158.49	$346.74	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $676.08	Professional		$239.88	$416.87	$676.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $70.79 / $120.23	Professional	26	$57.54	$70.79	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $309.03 / $575.44	Professional	TC	$173.78	$309.03	$575.44