Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.00 / $35.00 / $51.83	Facility	26	$35.00	$35.00	$51.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $68.76 / $313.70	Professional		$59.56	$68.76	$313.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.74 / $68.42 / $349.98	Professional	26	$28.74	$68.42	$349.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.44 / $33.76 / $40.45	Professional	TC	$29.44	$33.76	$40.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $52.06 / $61.24	Professional		$52.06	$52.06	$61.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $38.34 / $46.01	Professional	26	$26.07	$38.34	$46.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $84.75 / $127.12	Professional		$67.80	$84.75	$127.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $40.60 / $56.02	Professional	26	$32.47	$40.60	$56.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $44.15 / $70.64	Professional	TC	$35.32	$44.15	$70.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $39.86 / $76.55	Professional		$30.67	$39.86	$76.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $100.61 / $172.45	Professional		$71.84	$100.61	$172.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $43.99 / $73.62	Professional	26	$33.75	$43.99	$73.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $57.39 / $102.42	Professional	TC	$38.09	$57.39	$102.42
United Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $79.13 / $129.21	Professional		$61.07	$79.13	$129.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.53 / $37.03 / $68.88	Professional	26	$28.53	$37.03	$68.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.57 / $41.31 / $72.64	Professional	TC	$30.57	$41.31	$72.64