Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.06 / $71.75 / $133.62	Facility	26	$61.06	$71.75	$133.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $109.04 / $186.36	Professional		$93.18	$109.04	$186.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.67 / $64.98 / $114.25	Professional	26	$59.67	$64.98	$114.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $45.74 / $68.29	Professional	TC	$30.51	$45.74	$68.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $129.08 / $130.96	Professional		$121.60	$129.08	$130.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $61.34 / $61.34 / $61.34	Professional	26	$61.34	$61.34	$61.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $94.00 / $134.86	Professional		$79.90	$94.00	$134.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $66.45 / $94.98	Professional	26	$56.48	$66.45	$94.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.41 / $27.55 / $43.47	Professional	TC	$23.41	$27.55	$43.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $64.02 / $126.28	Professional		$41.82	$64.02	$126.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $68.20 / $68.20	Facility	26	$68.20	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $127.13 / $190.34	Professional		$94.01	$127.13	$190.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $88.86 / $134.40	Professional	26	$57.28	$88.86	$134.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.66 / $39.53 / $70.18	Professional	TC	$28.66	$39.53	$70.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.60	Professional		$32.34	$32.34	$121.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $106.42 / $176.29	Professional		$85.90	$106.42	$176.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $75.53 / $122.90	Professional	26	$58.34	$75.53	$122.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.51 / $35.65 / $66.67	Professional	TC	$26.51	$35.65	$66.67