Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.28 / $69.84 / $85.51	Facility	26	$61.28	$69.84	$85.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $287.33 / $445.75	Professional		$220.67	$287.33	$445.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $64.06 / $120.43	Professional	26	$58.00	$64.06	$120.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.38 / $199.28 / $292.82	Professional	TC	$157.38	$199.28	$292.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.15 / $173.82 / $182.96	Professional		$169.15	$173.82	$182.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.59 / $55.74 / $83.61	Professional	26	$44.59	$55.74	$83.61
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $210.18 / $210.18 / $471.25	Professional	TC	$210.18	$210.18	$471.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.72 / $317.50 / $469.80	Professional		$238.72	$317.50	$469.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.92 / $93.79 / $118.57	Professional	26	$65.92	$93.79	$118.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.39 / $221.99 / $344.08	Professional	TC	$170.39	$221.99	$344.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $178.65 / $274.86	Professional		$58.53	$178.65	$274.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $375.00 / $643.74	Professional		$228.48	$375.00	$643.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.22 / $79.22 / $139.50	Professional	26	$57.22	$79.22	$139.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.75 / $293.79 / $510.04	Professional	TC	$169.75	$293.79	$510.04
United Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $302.00 / $504.60	Professional		$217.71	$302.00	$504.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $66.54 / $126.99	Professional	26	$55.87	$66.54	$126.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $155.03 / $232.10 / $389.66	Professional	TC	$155.03	$232.10	$389.66