Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $109.65 / $138.04	Facility	26	$100.00	$109.65	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $776.25	Professional		$275.42	$398.11	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $269.15	Professional	26	$85.11	$123.03	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $501.19	Professional	TC	$190.55	$269.15	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $77.62 / $79.43	Professional	26	$77.62	$77.62	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $724.44	Professional		$331.13	$446.68	$724.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $186.21	Professional	26	$93.33	$114.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $331.13 / $537.03	Professional	TC	$234.42	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $549.54 / $1,071.52	Professional		$269.15	$549.54	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $117.49 / $218.78	Professional	26	$74.13	$117.49	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $398.11 / $870.96	Professional	TC	$186.21	$398.11	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $812.83	Professional		$281.84	$446.68	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $158.49	Professional	26	$75.86	$93.33	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $316.23 / $691.83	Professional	TC	$199.53	$316.23	$691.83