Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.86 / $48.86 / $72.81	Facility	26	$48.86	$48.86	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $60.87 / $68.23	Professional		$55.57	$60.87	$68.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $42.84 / $48.86	Professional	26	$37.99	$42.84	$48.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.86 / $19.37 / $19.94	Professional	TC	$16.86	$19.37	$19.94
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $34.47 / $56.71	Professional	26	$34.47	$34.47	$56.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $72.00 / $109.01	Professional		$60.24	$72.00	$109.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $57.00 / $78.66	Professional	26	$45.60	$57.00	$78.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $15.00 / $25.07	Professional	TC	$15.00	$15.00	$25.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $53.85 / $81.31	Professional		$19.73	$53.85	$81.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $86.25 / $143.55	Professional		$65.92	$86.25	$143.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.31 / $61.40 / $102.60	Professional	26	$47.31	$61.40	$102.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.04 / $24.71 / $44.50	Professional	TC	$19.04	$24.71	$44.50
United Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $71.93 / $120.01	Professional		$56.44	$71.93	$120.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.75 / $51.56 / $85.94	Professional	26	$41.75	$51.56	$85.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $20.68 / $34.07	Professional	TC	$16.25	$20.68	$34.07