Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.90 / $58.32 / $85.90	Facility	26	$55.90	$58.32	$85.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.89 / $254.96 / $349.00	Professional		$210.89	$254.96	$349.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.17 / $58.32 / $104.00	Professional	26	$53.17	$58.32	$104.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $186.85 / $255.84	Professional	TC	$157.38	$186.85	$255.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.56 / $179.65 / $311.58	Professional		$176.56	$179.65	$311.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.27 / $41.60 / $77.70	Professional	26	$40.27	$41.60	$77.70
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $240.82 / $240.82 / $240.82	Professional	TC	$240.82	$240.82	$240.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $308.74 / $460.10	Professional		$233.70	$308.74	$460.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.16 / $85.90 / $108.17	Professional	26	$60.16	$85.90	$108.17
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $171.08 / $221.81 / $343.80	Professional	TC	$171.08	$221.81	$343.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $180.42 / $270.04	Professional		$53.37	$180.42	$270.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.89 / $62.89 / $62.89	Facility	26	$62.89	$62.89	$62.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $373.89 / $631.73	Professional		$224.28	$373.89	$631.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $72.52 / $127.26	Professional	26	$52.17	$72.52	$127.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $170.70 / $293.79 / $510.04	Professional	TC	$170.70	$293.79	$510.04
United Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $294.35 / $491.54	Professional		$212.77	$294.35	$491.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $62.43 / $115.29	Professional	26	$50.31	$62.43	$115.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.59 / $223.89 / $376.45	Professional	TC	$158.59	$223.89	$376.45