Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $91.20 / $112.20	Facility	26	$70.79	$91.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $776.25	Professional		$194.98	$323.59	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $125.89 / $275.42	Professional	26	$66.07	$125.89	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $194.98 / $446.68	Professional	TC	$123.03	$194.98	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $186.21	Professional		$72.44	$151.36	$186.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $123.03	Professional	26	$52.48	$64.57	$123.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $109.65 / $141.25	Professional	TC	$91.20	$109.65	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $660.69	Professional		$245.47	$407.38	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $102.33 / $162.18	Professional	26	$79.43	$102.33	$162.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $309.03 / $501.19	Professional	TC	$162.18	$309.03	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $239.88	Professional		$72.44	$138.04	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $691.83 / $1,023.29	Professional		$194.98	$691.83	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $181.97	Professional	26	$61.66	$100.00	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $302.00 / $707.95	Professional	TC	$120.23	$302.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $707.95	Professional		$199.53	$331.13	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $81.28 / $141.25	Professional	26	$64.57	$81.28	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $208.93 / $575.44	Professional	TC	$128.82	$208.93	$575.44