Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.97 / $66.08 / $88.59	Facility	26	$57.97	$66.08	$88.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.39 / $295.31 / $475.00	Professional		$220.39	$295.31	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.97 / $78.63 / $140.00	Professional	26	$57.97	$78.63	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.41 / $221.08 / $340.00	Professional	TC	$162.41	$221.08	$340.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $158.03 / $162.52	Professional		$158.03	$158.03	$162.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.83 / $53.38 / $74.42	Professional	26	$41.83	$53.38	$74.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.50 / $399.03 / $598.71	Professional		$344.50	$399.03	$598.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.00 / $89.90 / $116.25	Professional	26	$62.00	$89.90	$116.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.76 / $308.77 / $478.59	Professional	TC	$282.76	$308.77	$478.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $166.88 / $256.80	Professional		$55.04	$166.88	$256.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.84 / $64.84 / $64.84	Facility	26	$64.84	$64.84	$64.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $545.84 / $921.66	Professional		$216.79	$545.84	$921.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.80 / $74.36 / $135.00	Professional	26	$53.80	$74.36	$135.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $157.94 / $441.44 / $821.49	Professional	TC	$157.94	$441.44	$821.49
United Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $406.42 / $818.07	Professional		$229.10	$406.42	$818.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.15 / $61.46 / $111.47	Professional	26	$52.15	$61.46	$111.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.90 / $307.23 / $616.42	Professional	TC	$168.90	$307.23	$616.42