Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $54.47 / $62.18	Professional		$48.76	$54.47	$62.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.37 / $21.26 / $25.46	Professional	26	$20.37	$21.26	$25.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.68 / $34.72 / $37.35	Professional	TC	$29.68	$34.72	$37.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $15.26 / $15.26	Professional	26	$15.26	$15.26	$15.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $28.03 / $36.99	Professional		$18.35	$28.03	$36.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $11.95 / $28.74	Professional	26	$11.95	$11.95	$28.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.40 / $16.07 / $21.22	Professional	TC	$6.40	$16.07	$21.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $56.10 / $90.71	Professional		$25.43	$56.10	$90.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $64.84 / $118.13	Professional		$25.66	$64.84	$118.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.42 / $25.93 / $60.83	Professional	26	$13.42	$25.93	$60.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.73 / $31.76 / $70.95	Professional	TC	$10.73	$31.76	$70.95
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $67.16 / $118.41	Professional		$41.79	$67.16	$118.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.54 / $29.23 / $50.66	Professional	26	$17.54	$29.23	$50.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.87 / $36.61 / $67.59	Professional	TC	$23.87	$36.61	$67.59