Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $61.66 / $85.11	Facility	26	$47.86	$61.66	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $371.54	Professional		$131.83	$181.97	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $63.10 / $190.55	Professional	26	$43.65	$63.10	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $117.49 / $281.84	Professional	TC	$81.28	$117.49	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $107.15	Professional		$97.72	$104.71	$107.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $44.67 / $75.86	Professional	26	$34.67	$44.67	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $389.05	Professional		$173.78	$245.47	$389.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $117.49	Professional	26	$53.70	$75.86	$117.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $165.96 / $269.15	Professional	TC	$120.23	$165.96	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $162.18	Professional		$47.86	$95.50	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $398.11 / $537.03	Professional		$147.91	$398.11	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $123.03	Professional	26	$41.69	$67.61	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $177.83 / $389.05	Professional	TC	$83.18	$177.83	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $380.19	Professional		$144.54	$218.78	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $56.23 / $93.33	Professional	26	$44.67	$56.23	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $158.49 / $288.40	Professional	TC	$97.72	$158.49	$288.40