Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $508.85 / $965.20	Facility		$60.19	$508.85	$965.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.05 / $28.05 / $57.68	Facility	26	$28.05	$28.05	$57.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $69.00 / $210.87	Professional		$50.59	$69.00	$210.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.05 / $30.80 / $72.31	Professional	26	$28.05	$30.80	$72.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.03 / $26.74 / $170.38	Professional	TC	$23.03	$26.74	$170.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $45.83 / $80.87	Professional		$36.65	$45.83	$80.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.11 / $28.11 / $42.17	Professional	26	$19.11	$28.11	$42.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $350.00 / $350.00	Facility		$104.50	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $104.50 / $157.99	Professional		$67.56	$104.50	$157.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $32.69 / $50.66	Professional	26	$26.84	$32.69	$50.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.33 / $71.81 / $108.09	Professional	TC	$36.33	$71.81	$108.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $36.54 / $72.78	Facility		$27.28	$36.54	$72.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $35.14 / $68.80	Professional		$27.10	$35.14	$68.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $350.00 / $350.00	Facility		$65.84	$350.00	$350.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.51 / $34.51 / $34.51	Facility	26	$34.51	$34.51	$34.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $147.07 / $290.58	Professional		$57.33	$147.07	$290.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $41.04 / $69.94	Professional	26	$30.32	$41.04	$69.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.15 / $89.32 / $215.79	Professional	TC	$26.15	$89.32	$215.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $76.01 / $205.36	Professional		$52.62	$76.01	$205.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $34.36 / $57.73	Professional	26	$28.11	$34.36	$57.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $36.88 / $170.03	Professional	TC	$22.94	$36.88	$170.03