Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.31 / $40.31 / $47.08	Facility	26	$40.31	$40.31	$47.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $81.03 / $122.51	Professional		$59.50	$81.03	$122.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $40.31 / $56.40	Professional	26	$35.68	$40.31	$56.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $41.21 / $53.84	Professional	TC	$20.78	$41.21	$53.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $92.06 / $106.07	Professional		$87.46	$92.06	$106.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $42.34 / $50.81	Professional	26	$34.65	$42.34	$50.81
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $46.05 / $46.05 / $55.26	Professional	TC	$46.05	$46.05	$55.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $78.88 / $125.03	Professional		$52.52	$78.88	$125.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.76 / $52.91 / $83.86	Professional	26	$34.76	$52.91	$83.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $25.97 / $41.25	Professional	TC	$17.61	$25.97	$41.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $46.05 / $88.39	Professional		$35.56	$46.05	$88.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $89.08 / $150.06	Professional		$71.79	$89.08	$150.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.65 / $52.62 / $80.44	Professional	26	$38.65	$52.62	$80.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $35.19 / $68.39	Professional	TC	$24.40	$35.19	$68.39
United Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $69.31 / $104.56	Professional		$55.88	$69.31	$104.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $42.48 / $65.08	Professional	26	$32.96	$42.48	$65.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $28.65 / $50.09	Professional	TC	$18.05	$28.65	$50.09