Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.61 / $13.62 / $22.98	Facility	26	$13.61	$13.62	$22.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $63.39 / $112.51	Professional		$50.68	$63.39	$112.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.30 / $31.50	Professional	26	$12.88	$15.30	$31.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.97 / $45.02 / $62.80	Professional	TC	$36.97	$45.02	$62.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $46.93 / $55.34	Professional		$44.17	$46.93	$55.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.88 / $13.60 / $20.39	Professional	26	$10.88	$13.60	$20.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $67.34 / $104.39	Professional		$57.26	$67.34	$104.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $23.70 / $32.70	Professional	26	$18.12	$23.70	$32.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.47 / $43.65 / $69.84	Professional	TC	$41.47	$43.65	$69.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $47.85 / $71.77	Professional		$14.28	$47.85	$71.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.57 / $16.57 / $16.57	Facility	26	$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $80.20 / $136.47	Professional		$55.20	$80.20	$136.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.91 / $21.44 / $34.78	Professional	26	$13.91	$21.44	$34.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.29 / $58.35 / $98.90	Professional	TC	$41.29	$58.35	$98.90
United Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $66.56 / $113.00	Professional		$55.39	$66.56	$113.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $17.91 / $27.70	Professional	26	$14.09	$17.91	$27.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.52 / $49.00 / $82.45	Professional	TC	$40.52	$49.00	$82.45