Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.56 / $37.04 / $49.39	Facility	26	$35.56	$37.04	$49.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $119.26 / $233.00	Professional		$60.34	$119.26	$233.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $37.04 / $80.40	Professional	26	$33.49	$37.04	$80.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $73.67 / $82.82 / $127.55	Professional	TC	$73.67	$82.82	$127.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $96.59 / $165.36	Professional		$90.90	$96.59	$165.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $32.49 / $53.22	Professional	26	$28.38	$32.49	$53.22
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $83.15 / $117.23 / $117.23	Professional	TC	$83.15	$117.23	$117.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $137.29 / $194.95	Professional		$101.18	$137.29	$194.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $38.31 / $54.40	Professional	26	$32.79	$38.31	$54.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.38 / $97.68 / $136.68	Professional	TC	$68.38	$97.68	$136.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $93.10 / $147.72	Professional		$37.25	$93.10	$147.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.97 / $43.97 / $43.97	Facility	26	$43.97	$43.97	$43.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $158.15 / $251.48	Professional		$113.14	$158.15	$251.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $46.46 / $76.48	Professional	26	$36.08	$46.46	$76.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.58 / $109.93 / $175.00	Professional	TC	$77.58	$109.93	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $150.06 / $233.99	Professional		$120.26	$150.06	$233.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.68 / $47.02 / $75.34	Professional	26	$37.68	$47.02	$75.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.38 / $104.01 / $160.75	Professional	TC	$80.38	$104.01	$160.75