Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $10.19 / $13.82	Facility	26	$9.98	$10.19	$13.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $38.83 / $52.18	Professional		$33.33	$38.83	$52.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $10.42 / $22.55	Professional	26	$9.36	$10.42	$22.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.96 / $28.63 / $41.43	Professional	TC	$23.96	$28.63	$41.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.97 / $14.14 / $15.23	Professional	26	$7.97	$14.14	$15.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $46.89 / $67.20	Professional		$37.70	$46.89	$67.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.60 / $20.17	Professional	26	$11.28	$14.60	$20.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $32.29 / $49.70	Professional	TC	$27.52	$32.29	$49.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $31.93 / $47.66	Professional		$10.61	$31.93	$47.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	26	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $54.08 / $87.06	Professional		$36.54	$54.08	$87.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.13 / $14.09 / $23.08	Professional	26	$10.13	$14.09	$23.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $39.77 / $65.66	Professional	TC	$26.56	$39.77	$65.66
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $45.83 / $72.11	Professional		$36.65	$45.83	$72.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.01 / $11.91 / $20.77	Professional	26	$10.01	$11.91	$20.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $33.08 / $53.96	Professional	TC	$25.65	$33.08	$53.96