Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $346.74 / $707.95	Facility		$52.48	$346.74	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $18.20 / $22.39	Facility	26	$12.88	$18.20	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $75.86	Professional		$29.51	$38.90	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $56.23	Professional	26	$12.02	$19.95	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $22.91 / $45.71	Professional	TC	$16.98	$22.91	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $31.62	Professional		$25.12	$28.84	$31.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $13.18 / $19.50	Professional	26	$9.77	$13.18	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $346.74 / $346.74	Facility		$29.51	$346.74	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $14.79 / $25.12	Professional	26	$13.80	$14.79	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $19.05 / $31.62	Professional	TC	$16.60	$19.05	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $27.54 / $47.86	Facility		$15.49	$27.54	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $27.54 / $46.77	Professional		$13.49	$27.54	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $72.44	Professional		$33.11	$46.77	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $29.51	Professional	26	$11.75	$18.62	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $46.77	Professional	TC	$16.98	$25.12	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $18.62 / $38.90	Facility		$17.78	$18.62	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $56.23	Professional		$30.20	$37.15	$56.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.85 / $23.44	Professional	26	$12.59	$15.85	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $20.89 / $33.88	Professional	TC	$16.60	$20.89	$33.88