Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.78 / $64.78 / $125.70	Facility	26	$64.78	$64.78	$125.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.38 / $290.08 / $475.00	Professional		$232.38	$290.08	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $82.05 / $140.00	Professional	26	$64.78	$82.05	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $166.79 / $208.03 / $335.00	Professional	TC	$166.79	$208.03	$335.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $232.02 / $232.02	Professional		$165.73	$232.02	$232.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.06 / $47.85 / $90.14	Professional	26	$35.06	$47.85	$90.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $407.33 / $631.36	Professional		$352.90	$407.33	$631.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.90 / $96.20 / $136.60	Professional	26	$67.90	$96.20	$136.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.76 / $311.13 / $482.25	Professional	TC	$282.76	$311.13	$482.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $170.11 / $279.67	Professional		$62.60	$170.11	$279.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.95 / $72.95 / $72.95	Facility	26	$72.95	$72.95	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.31 / $512.58 / $969.75	Professional		$227.31	$512.58	$969.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $83.36 / $144.35	Professional	26	$60.49	$83.36	$144.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.90 / $427.29 / $828.23	Professional	TC	$162.90	$427.29	$828.23
United Facility/Professional Professional Modifier Low / Median / High Price $241.53 / $407.55 / $719.46	Professional		$241.53	$407.55	$719.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.74 / $71.79 / $134.80	Professional	26	$58.74	$71.79	$134.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $178.30 / $311.63 / $584.41	Professional	TC	$178.30	$311.63	$584.41