Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $350.00 / $718.63	Facility		$42.32	$350.00	$718.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.75 / $15.29 / $17.10	Facility	26	$12.75	$15.29	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $35.27 / $49.49	Professional		$30.91	$35.27	$49.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $13.96 / $30.28	Professional	26	$12.57	$13.96	$30.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.89 / $22.52 / $31.12	Professional	TC	$17.89	$22.52	$31.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $30.32 / $51.95	Professional		$30.31	$30.32	$51.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $13.24 / $18.60	Professional	26	$9.88	$13.24	$18.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $350.00 / $350.00	Facility		$29.52	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $33.45 / $51.84	Professional		$30.58	$33.45	$51.84
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $14.71 / $22.80	Professional	26	$13.94	$14.71	$22.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.34 / $18.73 / $29.04	Professional	TC	$16.34	$18.73	$29.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $27.68 / $46.75	Facility		$13.70	$27.68	$46.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.68 / $44.01	Professional		$13.18	$26.68	$44.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $350.00 / $350.00	Facility		$42.87	$350.00	$350.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.88 / $15.88 / $15.88	Facility	26	$15.88	$15.88	$15.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $43.71 / $77.58	Professional		$33.46	$43.71	$77.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.83 / $18.67 / $30.46	Professional	26	$13.83	$18.67	$30.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.64 / $24.59 / $46.49	Professional	TC	$17.64	$24.59	$46.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $36.97 / $59.47	Professional		$30.53	$36.97	$59.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $15.70 / $25.93	Professional	26	$12.85	$15.70	$25.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $21.06 / $34.01	Professional	TC	$16.67	$21.06	$34.01