Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.07 / $62.45 / $92.60	Facility	26	$60.07	$62.45	$92.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $235.03 / $389.06	Professional		$196.55	$235.03	$389.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.44 / $62.45 / $78.30	Professional	26	$57.44	$62.45	$78.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.18 / $163.08 / $326.12	Professional	TC	$135.18	$163.08	$326.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $155.84 / $155.84	Professional		$155.84	$155.84	$155.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.84 / $54.79 / $82.19	Professional	26	$43.84	$54.79	$82.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $351.95 / $499.76	Professional		$261.14	$351.95	$499.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.12 / $88.90 / $126.23	Professional	26	$71.12	$88.90	$126.23
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $190.00 / $263.05 / $373.53	Professional	TC	$190.00	$263.05	$373.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $144.06 / $234.09	Professional		$57.53	$144.06	$234.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.54 / $67.54 / $67.54	Facility	26	$67.54	$67.54	$67.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.35 / $425.16 / $804.36	Professional		$200.35	$425.16	$804.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.22 / $83.16 / $144.63	Professional	26	$57.22	$83.16	$144.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $136.55 / $314.77 / $659.71	Professional	TC	$136.55	$314.77	$659.71
United Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $327.94 / $574.51	Professional		$217.70	$327.94	$574.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.81 / $70.76 / $134.32	Professional	26	$59.81	$70.76	$134.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $143.11 / $244.97 / $452.06	Professional	TC	$143.11	$244.97	$452.06