Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.43 / $52.44 / $80.56	Facility	26	$52.43	$52.44	$80.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $150.27 / $275.00	Professional		$126.86	$150.27	$275.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.33 / $54.56 / $110.87	Professional	26	$49.33	$54.56	$110.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.62 / $90.97 / $196.81	Professional	TC	$76.62	$90.97	$196.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $105.85	Professional		$98.15	$98.15	$105.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $47.67 / $71.51	Professional	26	$38.14	$47.67	$71.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $238.06 / $368.99	Professional		$151.65	$238.06	$368.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.85 / $70.20 / $101.46	Professional	26	$55.85	$70.20	$101.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $93.42 / $167.86 / $260.18	Professional	TC	$93.42	$167.86	$260.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $89.38 / $159.50	Professional		$50.05	$89.38	$159.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.04 / $59.04 / $59.04	Facility	26	$59.04	$59.04	$59.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $288.48 / $555.32	Professional		$130.37	$288.48	$555.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.91 / $68.06 / $119.37	Professional	26	$48.91	$68.06	$119.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.52 / $189.36 / $440.65	Professional	TC	$80.52	$189.36	$440.65
United Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $203.60 / $375.32	Professional		$131.29	$203.60	$375.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.24 / $55.70 / $108.16	Professional	26	$47.24	$55.70	$108.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.53 / $122.91 / $276.97	Professional	TC	$81.53	$122.91	$276.97