Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.21 / $20.22 / $24.25	Facility	26	$20.21	$20.22	$24.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $76.84 / $76.86	Professional		$68.06	$76.84	$76.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $20.21 / $20.21	Professional	26	$17.82	$20.21	$20.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.22 / $56.65 / $56.66	Professional	TC	$50.22	$56.65	$56.66
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.31 / $66.47 / $66.47	Professional	26	$28.31	$66.47	$66.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $107.80 / $156.31	Professional		$73.43	$107.80	$156.31
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $29.44 / $42.68	Professional	26	$20.05	$29.44	$42.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.37 / $78.36 / $113.62	Professional	TC	$53.37	$78.36	$113.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $67.55	Professional		$67.55	$67.55	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $18.45	Professional	26	$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $49.10	Professional	TC	$49.10	$49.10	$49.10
United Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $116.91 / $179.06	Professional		$94.91	$116.91	$179.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.16 / $26.33 / $96.45	Professional	26	$19.16	$26.33	$96.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.47 / $103.88 / $141.12	Professional	TC	$69.47	$103.88	$141.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.40 / $83.11 / $114.40	Professional		$60.40	$83.11	$114.40
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $15.70 / $18.47 / $25.65	Professional	26	$15.70	$18.47	$25.65
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $44.59 / $53.51 / $89.17	Professional	TC	$44.59	$53.51	$89.17