Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.55 / $9.55 / $14.72	Facility	26	$9.55	$9.55	$14.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $25.66 / $76.87	Professional		$22.16	$25.66	$76.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $9.58 / $14.74	Professional	26	$8.97	$9.58	$14.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.02 / $15.71 / $66.48	Professional	TC	$13.02	$15.71	$66.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $8.71 / $13.07	Professional	26	$6.97	$8.71	$13.07
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $11.27 / $11.27 / $11.27	Professional	TC	$11.27	$11.27	$11.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $55.90 / $86.75	Professional		$33.72	$55.90	$86.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.94 / $9.21 / $15.39	Professional	26	$4.94	$9.21	$15.39
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.78 / $46.69 / $72.36	Professional	TC	$28.78	$46.69	$72.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $17.36 / $30.15	Professional		$9.15	$17.36	$30.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $5.59 / $5.59 / $5.59	Facility	53	$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $73.90 / $182.65	Professional		$22.37	$73.90	$182.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $12.28 / $21.65	Professional	26	$8.97	$12.28	$21.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.83 / $62.09 / $166.73	Professional	TC	$13.83	$62.09	$166.73
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $35.19 / $131.78	Professional		$21.53	$35.19	$131.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $10.64 / $19.64	Professional	26	$8.98	$10.64	$19.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.97 / $20.02 / $119.09	Professional	TC	$11.97	$20.02	$119.09