Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.72 / $83.72 / $128.78	Facility	26	$83.72	$83.72	$128.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $256.27 / $294.50	Professional		$228.80	$256.27	$294.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.15 / $85.33 / $156.00	Professional	26	$77.15	$85.33	$156.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $168.21 / $220.00	Professional	TC	$145.63	$168.21	$220.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $91.43 / $114.30	Professional	26	$40.00	$91.43	$114.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $315.54 / $473.31	Professional		$251.92	$315.54	$473.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.13 / $102.15 / $152.75	Professional	26	$85.13	$102.15	$152.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.71 / $213.39 / $303.01	Professional	TC	$170.71	$213.39	$303.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $167.23 / $283.47	Professional		$80.01	$167.23	$283.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.84 / $93.84 / $93.84	Facility	26	$93.84	$93.84	$93.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $305.20 / $540.70	Professional		$220.53	$305.20	$540.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.22 / $98.56 / $180.96	Professional	26	$77.22	$98.56	$180.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.33 / $198.37 / $358.23	Professional	TC	$141.33	$198.37	$358.23
United Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $294.79 / $510.43	Professional		$227.66	$294.79	$510.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $88.88 / $171.19	Professional	26	$75.45	$88.88	$171.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.07 / $205.47 / $326.14	Professional	TC	$149.07	$205.47	$326.14