Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $6,578.17 / $7,465.38	Facility		$135.03	$6,578.17	$7,465.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.95 / $73.95 / $124.18	Facility	26	$73.95	$73.95	$124.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $147.16 / $235.94	Professional		$126.57	$147.16	$235.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.86 / $73.95 / $105.82	Professional	26	$48.86	$73.95	$105.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $63.29 / $71.30 / $87.33	Professional	52	$63.29	$71.30	$87.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.16 / $69.34 / $184.13	Professional	TC	$57.16	$69.34	$184.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.75 / $108.11 / $117.57	Professional	26	$63.75	$108.11	$117.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.49 / $6,928.00 / $6,928.00	Facility		$440.49	$6,928.00	$6,928.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.14 / $440.49 / $704.78	Professional		$188.14	$440.49	$704.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $74.80 / $115.94	Professional	26	$59.03	$74.80	$115.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $129.11 / $365.69 / $585.10	Professional	TC	$129.11	$365.69	$585.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $92.94 / $180.14	Facility		$62.46	$92.94	$180.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $90.56 / $173.47	Professional		$62.96	$90.56	$173.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $6,928.00 / $6,928.00	Facility		$151.13	$6,928.00	$6,928.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.06 / $94.06 / $94.06	Facility	26	$94.06	$94.06	$94.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $321.38 / $858.59	Professional		$138.83	$321.38	$858.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.34 / $88.48 / $150.59	Professional	26	$61.34	$88.48	$150.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.24 / $208.52 / $720.39	Professional	TC	$63.24	$208.52	$720.39
United Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $217.22 / $581.59	Professional		$150.38	$217.22	$581.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.69 / $88.42 / $148.34	Professional	26	$55.69	$88.42	$148.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $115.26 / $466.97	Professional	TC	$71.81	$115.26	$466.97