Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.92 / $55.95 / $77.89	Facility	26	$47.92	$55.95	$77.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $162.81 / $272.73	Professional		$130.72	$162.81	$272.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.14 / $49.36 / $101.32	Professional	26	$44.14	$49.36	$101.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.81 / $102.49 / $211.83	Professional	TC	$81.81	$102.49	$211.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $98.56 / $103.32	Professional		$95.13	$98.56	$103.32
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $39.77 / $65.56	Professional	26	$34.97	$39.77	$65.56
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $59.26 / $59.26 / $471.25	Professional	TC	$59.26	$59.26	$471.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $243.06 / $376.74	Professional		$178.34	$243.06	$376.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.09 / $75.20 / $106.78	Professional	26	$57.09	$75.20	$106.78
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $121.25 / $167.86 / $260.18	Professional	TC	$121.25	$167.86	$260.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $89.28 / $155.90	Professional		$45.90	$89.28	$155.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.02 / $54.02 / $54.02	Facility	26	$54.02	$54.02	$54.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $286.00 / $562.35	Professional		$131.33	$286.00	$562.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.84 / $67.25 / $121.69	Professional	26	$44.84	$67.25	$121.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.02 / $223.99 / $440.65	Professional	TC	$83.02	$223.99	$440.65
United Facility/Professional Professional Modifier Low / Median / High Price $146.04 / $223.34 / $414.12	Professional		$146.04	$223.34	$414.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.65 / $56.75 / $109.09	Professional	26	$45.65	$56.75	$109.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $96.13 / $157.63 / $287.74	Professional	TC	$96.13	$157.63	$287.74