Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.07 / $32.64 / $58.46	Facility	26	$29.07	$32.64	$58.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $77.88 / $141.40	Professional		$71.37	$77.88	$141.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.26 / $32.29 / $57.55	Professional	26	$30.26	$32.29	$57.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.36 / $45.22 / $83.19	Professional	TC	$41.36	$45.22	$83.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $30.92 / $34.01	Professional	26	$24.58	$30.92	$34.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $62.57 / $89.06	Professional		$60.75	$62.57	$89.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $28.00 / $36.58	Professional	26	$27.18	$28.00	$36.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.58 / $34.58 / $53.02	Professional	TC	$33.58	$34.58	$53.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $47.32 / $92.59	Professional		$34.17	$47.32	$92.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.82 / $37.82 / $37.82	Facility	26	$37.82	$37.82	$37.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $109.12 / $174.31	Professional		$74.95	$109.12	$174.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $49.13 / $78.48	Professional	26	$33.22	$49.13	$78.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.51 / $61.72 / $95.82	Professional	TC	$43.51	$61.72	$95.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $64.92	Professional		$32.34	$32.34	$64.92
United Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $84.19 / $119.13	Professional		$72.84	$84.19	$119.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.84 / $38.18 / $54.02	Professional	26	$31.84	$38.18	$54.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.84 / $49.93 / $69.45	Professional	TC	$39.84	$49.93	$69.45