Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.50 / $59.50 / $98.79	Facility	26	$59.50	$59.50	$98.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.94 / $423.65 / $511.01	Professional		$373.94	$423.65	$511.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $58.77 / $103.00	Professional	26	$53.19	$58.77	$103.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $317.69 / $368.78 / $442.70	Professional	TC	$317.69	$368.78	$442.70
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.02 / $68.44 / $82.34	Professional	26	$65.02	$68.44	$82.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.01 / $400.10 / $625.79	Professional		$318.01	$400.10	$625.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.16 / $60.45 / $93.69	Professional	26	$49.16	$60.45	$93.69
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $268.85 / $333.13 / $516.35	Professional	TC	$268.85	$333.13	$516.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $357.57 / $491.38	Professional		$55.20	$357.57	$491.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $662.50 / $1,284.80	Professional		$395.76	$662.50	$1,284.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.93 / $98.46 / $152.12	Professional	26	$61.93	$98.46	$152.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $316.08 / $564.64 / $958.01	Professional	TC	$316.08	$564.64	$958.01
United Facility/Professional Professional Modifier Low / Median / High Price $353.70 / $471.72 / $879.07	Professional		$353.70	$471.72	$879.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $79.72 / $127.24	Professional	26	$51.54	$79.72	$127.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $300.44 / $386.83 / $745.42	Professional	TC	$300.44	$386.83	$745.42