Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.22 / $32.22 / $51.15	Facility	26	$32.22	$32.22	$51.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $97.48 / $113.60	Professional		$64.31	$97.48	$113.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.25 / $32.68 / $40.04	Professional	26	$30.25	$32.68	$40.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $65.20 / $76.92	Professional	TC	$33.03	$65.20	$76.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $87.48 / $137.61	Professional		$85.32	$87.48	$137.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.09 / $39.09 / $47.01	Professional	26	$39.09	$39.09	$47.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $78.45 / $116.23	Professional		$53.57	$78.45	$116.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.11 / $45.81 / $72.61	Professional	26	$30.11	$45.81	$72.61
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.80 / $19.00 / $33.72	Professional	TC	$15.80	$19.00	$33.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $71.83 / $114.68	Professional		$32.90	$71.83	$114.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $94.84 / $166.46	Professional		$54.27	$94.84	$166.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.61 / $42.56 / $72.23	Professional	26	$34.61	$42.56	$72.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $50.91 / $136.75	Professional	TC	$14.70	$50.91	$136.75
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $87.97 / $160.32	Professional		$56.68	$87.97	$160.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.27 / $35.72 / $61.04	Professional	26	$29.27	$35.72	$61.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $48.22 / $94.24	Professional	TC	$20.39	$48.22	$94.24