Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $85.66 / $184.46	Professional		$56.63	$85.66	$184.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.98 / $29.82 / $122.67	Professional	26	$19.98	$29.82	$122.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.43 / $70.38 / $132.38	Professional	TC	$44.43	$70.38	$132.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $51.00 / $100.85	Professional		$47.83	$51.00	$100.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $16.93 / $36.29	Professional	26	$12.04	$16.93	$36.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $39.74 / $52.45	Professional		$14.98	$39.74	$52.45
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.23 / $27.79	Professional	26	$11.23	$11.23	$27.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $3.75 / $28.51 / $37.63	Professional	TC	$3.75	$28.51	$37.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $91.99 / $131.11	Facility		$24.67	$91.99	$131.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $84.33 / $126.39	Professional		$24.19	$84.33	$126.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $49.47	Facility		$49.47	$49.47	$49.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $99.08 / $180.43	Professional		$37.31	$99.08	$180.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $25.91 / $59.19	Professional	26	$12.70	$25.91	$59.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.99 / $65.44 / $121.49	Professional	TC	$22.99	$65.44	$121.49
United Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $98.75 / $181.06	Professional		$59.36	$98.75	$181.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $27.79 / $47.24	Professional	26	$16.67	$27.79	$47.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.46 / $69.38 / $134.97	Professional	TC	$44.46	$69.38	$134.97