Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $64.57 / $75.86	Facility	26	$47.86	$64.57	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $457.09	Professional		$251.19	$309.03	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $125.89	Professional	26	$42.66	$50.12	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $257.04 / $389.05	Professional	TC	$208.93	$257.04	$389.05
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $51.29 / $77.62	Professional	26	$45.71	$51.29	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $416.87	Professional		$263.03	$309.03	$416.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $47.86 / $69.18	Professional	26	$47.86	$47.86	$69.18
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $257.04 / $346.74	Professional	TC	$218.78	$257.04	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $75.86	Professional		$41.69	$61.66	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $1,380.38	Professional		$346.74	$588.84	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $102.33 / $229.09	Professional	26	$63.10	$102.33	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $512.86 / $1,148.15	Professional	TC	$331.13	$512.86	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $478.63	Professional		$302.00	$371.54	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $81.28	Professional	26	$50.12	$61.66	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $309.03 / $407.38	Professional	TC	$245.47	$309.03	$407.38