Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $77.62 / $77.62	Facility	26	$42.66	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $154.88	Professional		$64.57	$91.20	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $89.13	Professional	26	$38.02	$46.77	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $40.74 / $67.61	Professional	TC	$21.88	$40.74	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $104.71	Professional		$69.18	$91.20	$104.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $39.81 / $54.95	Professional	26	$34.67	$39.81	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $93.33	Professional		$56.23	$66.07	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $45.71 / $61.66	Professional	26	$38.90	$45.71	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.89 / $32.36	Professional	TC	$17.78	$20.89	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $91.20	Professional		$34.67	$46.77	$91.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $363.08	Professional		$72.44	$97.72	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $190.55	Professional	26	$41.69	$66.07	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $41.69 / $177.83	Professional	TC	$24.55	$41.69	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $131.83	Professional		$61.66	$79.43	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $50.12 / $81.28	Professional	26	$38.90	$50.12	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.18 / $52.48	Professional	TC	$20.42	$28.18	$52.48