Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $250.18 / $350.00	Facility		$43.72	$250.18	$350.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $47.51	Facility	26	$28.15	$28.15	$47.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $78.22 / $173.71	Professional		$43.72	$78.22	$173.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $31.54 / $53.26	Professional	26	$26.35	$31.54	$53.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.23 / $94.51 / $179.00	Professional	50	$82.23	$94.51	$179.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.23 / $18.18 / $41.78	Professional	TC	$15.23	$18.18	$41.78
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $42.17 / $42.17	Professional	26	$42.17	$42.17	$42.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $350.00 / $400.00	Facility		$87.65	$350.00	$400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $101.75 / $157.71	Professional		$54.13	$101.75	$157.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.82 / $46.10 / $63.61	Professional	26	$23.82	$46.10	$63.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.19 / $152.62 / $236.56	Professional	50	$81.19	$152.62	$236.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.31 / $55.65 / $86.25	Professional	TC	$30.31	$55.65	$86.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $35.14 / $59.10	Facility		$17.23	$35.14	$59.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $33.72 / $55.67	Professional		$16.55	$33.72	$55.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $350.00 / $350.00	Facility		$53.68	$350.00	$350.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $34.29 / $34.29	Facility	26	$34.29	$34.29	$34.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $111.32 / $195.24	Professional		$49.35	$111.32	$195.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.75 / $50.58 / $103.53	Professional	26	$30.75	$50.58	$103.53
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.23 / $79.23 / $90.51	Professional	50	$79.23	$79.23	$90.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.87 / $51.65 / $126.10	Professional	TC	$17.87	$51.65	$126.10
United Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $235.69 / $235.69	Facility		$235.69	$235.69	$235.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $84.65 / $147.62	Professional		$48.39	$84.65	$147.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.12 / $46.92 / $64.22	Professional	26	$28.12	$46.92	$64.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $35.18 / $72.62	Professional	TC	$18.84	$35.18	$72.62