Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $489.78 / $831.76	Facility		$107.15	$489.78	$831.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $35.48 / $50.12	Facility	26	$26.30	$35.48	$50.12
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $53.70 / $81.28 / $489.78	Facility	TC	$53.70	$81.28	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $331.13	Professional		$72.44	$117.49	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $43.65 / $112.20	Professional	26	$25.12	$43.65	$112.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $75.86 / $147.91	Professional	TC	$48.98	$75.86	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $102.33	Professional		$53.70	$67.61	$102.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $22.39 / $38.90	Professional	26	$20.89	$22.39	$38.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $107.15	Professional	TC	$35.48	$44.67	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $263.03 / $346.74	Facility		$87.10	$263.03	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $154.88	Professional		$85.11	$100.00	$154.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $44.67 / $61.66	Professional	26	$30.90	$44.67	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $60.26 / $91.20	Professional	TC	$53.70	$60.26	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $66.07 / $107.15	Facility		$32.36	$66.07	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $102.33	Professional		$28.18	$63.10	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $218.78	Facility		$85.11	$138.04	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $194.98	Professional		$77.62	$112.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $36.31 / $61.66	Professional	26	$23.44	$36.31	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $131.83	Professional	TC	$51.29	$75.86	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $112.20	Facility		$58.88	$89.13	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $147.91	Professional		$79.43	$97.72	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $30.90 / $47.86	Professional	26	$25.12	$30.90	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $66.07 / $104.71	Professional	TC	$52.48	$66.07	$104.71