Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.82 / $24.82 / $40.57	Facility	26	$24.82	$24.82	$40.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $90.77 / $101.44	Professional		$81.34	$90.77	$101.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.55 / $25.22 / $26.64	Professional	26	$16.55	$25.22	$26.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.72 / $65.01 / $72.65	Professional	TC	$57.72	$65.01	$72.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.60 / $38.60 / $38.60	Professional	26	$38.60	$38.60	$38.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $44.64 / $69.92	Professional		$44.64	$44.64	$69.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $13.54 / $25.43	Professional	26	$13.54	$13.54	$25.43
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.10 / $31.10 / $44.49	Professional	TC	$31.10	$31.10	$44.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $69.48 / $164.82	Professional		$36.75	$69.48	$164.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.00 / $50.00 / $50.00	Facility	26	$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $73.20 / $180.71	Professional		$34.88	$73.20	$180.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $24.22 / $48.95	Professional	26	$12.80	$24.22	$48.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.59 / $50.57 / $131.76	Professional	TC	$22.59	$50.57	$131.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $101.60 / $174.86	Professional		$64.80	$101.60	$174.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.34 / $32.81 / $52.56	Professional	26	$20.34	$32.81	$52.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.03 / $72.22 / $115.71	Professional	TC	$44.03	$72.22	$115.71