Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.48 / $70.48 / $108.38	Facility	26	$70.48	$70.48	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.47 / $367.09 / $522.50	Professional		$290.47	$367.09	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.48 / $89.08 / $149.01	Professional	26	$70.48	$89.08	$149.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $220.59 / $276.73 / $368.50	Professional	TC	$220.59	$276.73	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.55 / $244.55 / $349.59	Professional		$244.55	$244.55	$349.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $54.67 / $96.20	Professional	26	$51.05	$54.67	$96.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $414.09 / $641.83	Professional		$358.11	$414.09	$641.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.11 / $103.50 / $146.97	Professional	26	$73.11	$103.50	$146.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.76 / $310.58 / $481.41	Professional	TC	$282.76	$310.58	$481.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $268.29 / $413.33	Professional		$67.34	$268.29	$413.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.09 / $79.09 / $79.09	Facility	26	$79.09	$79.09	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.00 / $571.44 / $1,081.48	Professional		$339.00	$571.44	$1,081.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.54 / $93.33 / $153.19	Professional	26	$65.54	$93.33	$153.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.99 / $481.68 / $916.57	Professional	TC	$270.99	$481.68	$916.57
United Facility/Professional Professional Modifier Low / Median / High Price $356.99 / $501.90 / $848.31	Professional		$356.99	$501.90	$848.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $75.06 / $145.90	Professional	26	$63.81	$75.06	$145.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $285.08 / $411.37 / $710.37	Professional	TC	$285.08	$411.37	$710.37