Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.69 / $18.69 / $31.52	Facility	26	$18.69	$18.69	$31.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $88.94 / $162.43	Professional		$73.73	$88.94	$162.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $19.16 / $39.00	Professional	26	$17.30	$19.16	$39.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.57 / $70.25 / $88.30	Professional	TC	$55.57	$70.25	$88.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $77.01 / $77.01	Professional		$77.01	$77.01	$77.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $26.52 / $27.98	Professional	26	$14.92	$26.52	$27.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $98.89 / $148.33	Professional		$72.40	$98.89	$148.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $26.33 / $37.38	Professional	26	$19.95	$26.33	$37.38
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.46 / $72.56 / $112.46	Professional	TC	$52.46	$72.56	$112.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $77.63 / $119.41	Professional		$19.82	$77.63	$119.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.72 / $22.72 / $22.72	Facility	26	$22.72	$22.72	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $99.71 / $191.92	Professional		$79.25	$99.71	$191.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.88 / $24.34 / $39.77	Professional	26	$18.88	$24.34	$39.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.20 / $77.15 / $152.87	Professional	TC	$60.20	$77.15	$152.87
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $93.79 / $158.84	Professional		$75.79	$93.79	$158.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.09 / $22.07 / $36.34	Professional	26	$19.09	$22.07	$36.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $55.82 / $71.06 / $117.22	Professional	TC	$55.82	$71.06	$117.22