Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $327.00 / $337.09	Facility		$30.96	$327.00	$337.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.77 / $17.77 / $17.77	Facility	26	$17.77	$17.77	$17.77
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $13.18 / $258.74 / $306.13	Facility	TC	$13.18	$258.74	$306.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $47.18 / $91.14	Professional		$30.76	$47.18	$91.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.59 / $71.59 / $71.59	Professional	25	$71.59	$71.59	$71.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $20.94 / $38.20	Professional	26	$17.36	$20.94	$38.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.42 / $89.26 / $89.26	Professional	50	$85.42	$89.26	$89.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.37 / $16.25 / $37.63	Professional	52	$15.37	$16.25	$37.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.96 / $15.94 / $53.23	Professional	TC	$12.96	$15.94	$53.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $50.30 / $50.30	Professional		$50.30	$50.30	$50.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.54 / $327.00 / $327.00	Facility		$69.54	$327.00	$327.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $68.55 / $95.96	Professional		$45.79	$68.55	$95.96
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $23.37 / $33.18	Professional	26	$18.69	$23.37	$33.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $68.68 / $102.82 / $143.94	Professional	50	$68.68	$102.82	$143.94
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.64 / $46.17 / $63.71	Professional	TC	$25.64	$46.17	$63.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $23.83 / $45.27	Facility		$15.84	$23.83	$45.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $22.87 / $42.67	Professional		$15.19	$22.87	$42.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $327.00 / $327.00	Facility		$327.00	$327.00	$327.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.35 / $23.35 / $23.35	Facility	26	$23.35	$23.35	$23.35
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.64 / $18.64 / $18.64	Facility	TC	$18.64	$18.64	$18.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $70.08 / $139.53	Professional		$37.01	$70.08	$139.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.21 / $26.93 / $48.75	Professional	26	$19.21	$26.93	$48.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.91 / $39.56 / $80.45	Professional	TC	$15.91	$39.56	$80.45
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $61.45 / $96.74	Professional		$41.84	$61.45	$96.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.80 / $23.53 / $36.14	Professional	26	$19.80	$23.53	$36.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.52 / $65.00	Professional	TC	$19.05	$32.52	$65.00