Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $109.90 / $127.03	Professional		$102.08	$109.90	$127.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $32.69 / $38.06	Professional	26	$31.27	$32.69	$38.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.81 / $78.18 / $88.97	Professional	TC	$70.81	$78.18	$88.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $23.26 / $23.26	Professional	26	$23.26	$23.26	$23.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $88.50 / $153.44	Professional		$84.14	$88.50	$153.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.51 / $24.51 / $62.91	Professional	26	$24.51	$24.51	$62.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $59.63 / $63.99 / $93.25	Professional	TC	$59.63	$63.99	$93.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $114.66 / $168.89	Professional		$38.76	$114.66	$168.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $133.26 / $299.66	Professional		$74.20	$133.26	$299.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.19 / $40.25 / $111.98	Professional	26	$21.19	$40.25	$111.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.61 / $93.11 / $183.20	Professional	TC	$46.61	$93.11	$183.20
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $133.88 / $227.61	Professional		$80.33	$133.88	$227.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.99 / $47.53 / $100.78	Professional	26	$25.99	$47.53	$100.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.34 / $90.58 / $153.97	Professional	TC	$54.34	$90.58	$153.97