Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.03 / $200.00 / $701.13	Facility		$94.03	$200.00	$701.13
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $14.45 / $24.35	Facility	26	$14.45	$14.45	$24.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $94.03 / $118.02	Professional		$80.72	$94.03	$118.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.16 / $14.96 / $20.37	Professional	26	$13.16	$14.96	$20.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.76 / $79.58 / $99.72	Professional	TC	$65.76	$79.58	$99.72
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.40 / $11.53 / $17.96	Professional	26	$5.40	$11.53	$17.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $200.00 / $352.08	Facility		$80.84	$200.00	$352.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $80.84 / $128.53	Professional		$74.15	$80.84	$128.53
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $21.40 / $29.53	Professional	26	$17.12	$21.40	$29.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.79 / $59.44 / $95.10	Professional	TC	$56.79	$59.44	$95.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $92.16 / $127.69	Facility		$17.29	$92.16	$127.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $84.48 / $123.13	Professional		$15.13	$84.48	$123.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.32 / $200.00 / $253.22	Facility		$116.32	$200.00	$253.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $107.74 / $205.87	Professional		$81.06	$107.74	$205.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.83 / $20.26 / $34.22	Professional	26	$14.83	$20.26	$34.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.94 / $85.64 / $182.40	Professional	TC	$63.94	$85.64	$182.40
United Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $202.58 / $202.58	Facility		$78.48	$202.58	$202.58
United Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $96.31 / $165.92	Professional		$78.39	$96.31	$165.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.66 / $17.76 / $29.38	Professional	26	$14.66	$17.76	$29.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.50 / $79.78 / $131.66	Professional	TC	$63.50	$79.78	$131.66