Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.03 / $61.88 / $63.34	Facility		$51.03	$61.88	$63.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.00 / $18.00 / $22.91	Facility	26	$18.00	$18.00	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $76.25 / $174.55	Professional		$61.11	$76.25	$174.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $18.18 / $28.45	Professional	26	$16.57	$18.18	$28.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.56 / $53.41 / $154.11	Professional	TC	$43.56	$53.41	$154.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $63.95 / $63.95	Professional		$63.95	$63.95	$63.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $108.17 / $151.63	Professional		$68.31	$108.17	$151.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.03 / $18.98 / $32.84	Professional	26	$16.03	$18.98	$32.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.10 / $91.39 / $127.96	Professional	TC	$24.10	$91.39	$127.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $50.36 / $80.61	Facility		$18.39	$50.36	$80.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.24 / $81.72	Professional		$18.14	$24.24	$81.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $75.31 / $75.31	Facility		$44.12	$75.31	$75.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.65 / $20.65 / $20.65	Facility	26	$20.65	$20.65	$20.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $114.30 / $229.25	Professional		$60.43	$114.30	$229.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.21 / $24.67 / $38.39	Professional	26	$17.21	$24.67	$38.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.70 / $91.91 / $199.08	Professional	TC	$35.70	$91.91	$199.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $32.34 / $35.10	Professional		$6.95	$32.34	$35.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $97.27 / $145.25	Professional		$60.33	$97.27	$145.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $22.68 / $38.29	Professional	26	$15.88	$22.68	$38.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.11 / $76.61 / $114.01	Professional	TC	$40.11	$76.61	$114.01