Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.89 / $388.60 / $740.24	Facility		$107.89	$388.60	$740.24
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.69 / $21.69 / $21.69	Facility	26	$21.69	$21.69	$21.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $120.08 / $132.24	Professional		$102.97	$120.08	$132.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $22.82 / $27.27	Professional	26	$20.50	$22.82	$27.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.20 / $97.69 / $107.28	Professional	TC	$86.20	$97.69	$107.28
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.89 / $16.89 / $17.57	Professional	26	$16.89	$16.89	$17.57
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $72.73 / $72.73 / $72.73	Professional	TC	$72.73	$72.73	$72.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.90 / $302.82 / $350.00	Facility		$156.90	$302.82	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $156.54 / $211.81	Professional		$104.60	$156.54	$211.81
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $30.80 / $41.58	Professional	26	$20.74	$30.80	$41.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.86 / $122.44 / $170.23	Professional	TC	$83.86	$122.44	$170.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $99.86 / $144.46	Facility		$23.89	$99.86	$144.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $91.96 / $130.44	Professional		$22.19	$91.96	$130.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $350.00 / $350.00	Facility		$131.97	$350.00	$350.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $154.44 / $247.84	Professional		$111.51	$154.44	$247.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $27.81 / $50.56	Professional	26	$21.97	$27.81	$50.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.16 / $126.24 / $217.63	Professional	TC	$90.16	$126.24	$217.63
United Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $146.69 / $350.00	Facility		$30.18	$146.69	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $140.97 / $228.55	Professional		$107.28	$140.97	$228.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $25.81 / $40.52	Professional	26	$20.97	$25.81	$40.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.40 / $114.84 / $194.47	Professional	TC	$85.40	$114.84	$194.47