Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $426.58 / $977.24	Facility		$120.23	$426.58	$977.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $31.62 / $44.67	Facility	26	$24.55	$31.62	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $223.87	Professional		$67.61	$123.03	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $33.88 / $60.26	Professional	26	$23.99	$33.88	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $89.13 / $154.88	Professional	TC	$54.95	$89.13	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $125.89	Professional		$75.86	$91.20	$125.89
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $38.90	Professional	26	$19.50	$26.92	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $199.53 / $199.53	Facility		$72.44	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $134.90	Professional		$64.57	$72.44	$134.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $27.54 / $47.86	Professional	26	$26.92	$27.54	$47.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $45.71 / $89.13	Professional	TC	$36.31	$45.71	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $97.72 / $138.04	Facility		$30.20	$97.72	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $89.13 / $138.04	Professional		$26.30	$89.13	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $199.53	Facility		$38.90	$95.50	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $186.21	Professional		$75.86	$104.71	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $31.62 / $54.95	Professional	26	$25.12	$31.62	$54.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $74.13 / $144.54	Professional	TC	$50.12	$74.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $147.91	Professional		$67.61	$95.50	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $27.54 / $40.74	Professional	26	$23.44	$27.54	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $67.61 / $107.15	Professional	TC	$41.69	$67.61	$107.15