Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $66.23 / $111.66	Professional		$42.21	$66.23	$111.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.22 / $22.40 / $73.44	Professional	26	$9.22	$22.40	$73.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.66 / $57.03 / $129.96	Professional	TC	$45.66	$57.03	$129.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $37.53 / $49.74	Professional		$37.53	$37.53	$49.74
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.45 / $6.54 / $16.35	Professional	26	$5.45	$6.54	$16.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $28.80 / $38.01	Professional		$7.84	$28.80	$38.01
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.04 / $5.04 / $16.84	Professional	26	$5.04	$5.04	$16.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.80 / $23.76 / $31.36	Professional	TC	$2.80	$23.76	$31.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $73.69 / $95.80	Facility		$11.12	$73.69	$95.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $69.06 / $94.19	Professional		$10.90	$69.06	$94.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Facility		$33.43	$33.43	$33.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $73.70 / $130.36	Professional		$25.11	$73.70	$130.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.76 / $11.68 / $26.28	Professional	26	$5.76	$11.68	$26.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $54.85 / $104.07	Professional	TC	$18.77	$54.85	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $70.70 / $130.52	Professional		$42.43	$70.70	$130.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.63 / $22.14	Professional	26	$7.58	$12.63	$22.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.76 / $56.45 / $109.82	Professional	TC	$38.76	$56.45	$109.82