Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.36 / $58.36 / $89.69	Facility	26	$58.36	$58.36	$89.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $213.96 / $393.43	Professional		$195.50	$213.96	$393.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $58.36 / $73.84	Professional	26	$55.83	$58.36	$73.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.18 / $153.24 / $337.38	Professional	TC	$136.18	$153.24	$337.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $31.48 / $50.95 / $50.95	Professional	26	$31.48	$50.95	$50.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $342.31 / $495.79	Professional		$232.39	$342.31	$495.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.39 / $78.90 / $112.92	Professional	26	$62.39	$78.90	$112.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $198.51 / $263.41 / $374.04	Professional	TC	$198.51	$263.41	$374.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $152.35 / $241.97	Professional		$55.72	$152.35	$241.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $387.11 / $710.45	Professional		$196.71	$387.11	$710.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.47 / $75.28 / $126.71	Professional	26	$54.47	$75.28	$126.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.72 / $314.83 / $611.22	Professional	TC	$135.72	$314.83	$611.22
United Facility/Professional Professional Modifier Low / Median / High Price $218.17 / $322.69 / $574.89	Professional		$218.17	$322.69	$574.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.76 / $62.35 / $120.65	Professional	26	$52.76	$62.35	$120.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.78 / $261.89 / $426.90	Professional	TC	$158.78	$261.89	$426.90