Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.24 / $53.93 / $95.81	Facility	26	$50.24	$53.93	$95.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $220.65 / $476.21	Professional		$126.86	$220.65	$476.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $53.15 / $168.42	Professional	26	$47.67	$53.15	$168.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.62 / $145.74 / $285.50	Professional	TC	$76.62	$145.74	$285.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Professional		$98.15	$98.15	$98.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.14 / $41.35 / $59.75	Professional	26	$38.14	$41.35	$59.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $175.01 / $322.50	Professional		$132.77	$175.01	$322.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $59.97 / $89.27	Professional	26	$50.97	$59.97	$89.27
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.79 / $106.40 / $240.00	Professional	TC	$81.79	$106.40	$240.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $89.38 / $167.02	Professional		$53.26	$89.38	$167.02
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 $159.16 / $273.27 / $521.58	Professional		$159.16	$273.27	$521.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.88 / $80.75 / $121.92	Professional	26	$47.88	$80.75	$121.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $98.03 / $205.89 / $374.80	Professional	TC	$98.03	$205.89	$374.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.14	Professional		$32.34	$32.34	$166.14
United Facility/Professional Professional Modifier Low / Median / High Price $134.59 / $221.42 / $313.30	Professional		$134.59	$221.42	$313.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.58 / $57.72 / $83.37	Professional	26	$47.58	$57.72	$83.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.84 / $128.84 / $232.40	Professional	TC	$80.84	$128.84	$232.40