Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.43 / $78.44 / $98.80	Facility	26	$78.43	$78.44	$98.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $384.64 / $525.00	Professional		$278.64	$384.64	$525.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.44 / $99.24 / $162.12	Professional	26	$78.44	$99.24	$162.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.49 / $300.00 / $368.50	Professional	TC	$242.49	$300.00	$368.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $228.80 / $247.42	Professional		$228.80	$228.80	$247.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $68.54 / $107.09	Professional	26	$56.82	$68.54	$107.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $409.83 / $635.23	Professional		$341.88	$409.83	$635.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $74.30 / $115.16	Professional	26	$66.80	$74.30	$115.16
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.42 / $335.53 / $520.07	Professional	TC	$268.42	$335.53	$520.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $246.79 / $371.80	Professional		$74.95	$246.79	$371.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.08 / $615.17 / $1,017.45	Professional		$315.08	$615.17	$1,017.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.02 / $100.35 / $170.27	Professional	26	$73.02	$100.35	$170.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $236.60 / $506.77 / $793.01	Professional	TC	$236.60	$506.77	$793.01
United Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $487.83 / $797.44	Professional		$325.58	$487.83	$797.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.17 / $85.98 / $161.82	Professional	26	$71.17	$85.98	$161.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $250.86 / $392.29 / $644.96	Professional	TC	$250.86	$392.29	$644.96