Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $54.67 / $76.17	Professional		$48.37	$54.67	$76.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.98 / $31.17 / $42.57	Professional	26	$28.98	$31.17	$42.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $22.73 / $29.76	Professional	TC	$18.78	$22.73	$29.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.35 / $58.42	Professional		$50.00	$58.35	$58.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $34.15 / $34.15	Professional	26	$34.15	$34.15	$34.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $61.31 / $81.94	Professional		$42.82	$61.31	$81.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.68 / $37.13 / $49.44	Professional	26	$26.68	$37.13	$49.44
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.61 / $24.62 / $33.92	Professional	TC	$14.61	$24.62	$33.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $34.15 / $67.18	Professional		$24.31	$34.15	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $66.29 / $114.91	Professional		$49.34	$66.29	$114.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $39.97 / $77.27	Professional	26	$29.95	$39.97	$77.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.80 / $23.67 / $51.78	Professional	TC	$14.80	$23.67	$51.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $56.94 / $80.75	Professional		$48.45	$56.94	$80.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.64 / $34.76 / $48.28	Professional	26	$30.64	$34.76	$48.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $22.60 / $32.47	Professional	TC	$18.07	$22.60	$32.47