Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $51.79 / $81.41	Professional		$47.54	$51.79	$81.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.84 / $19.80 / $52.81	Professional	26	$16.84	$19.80	$52.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.85 / $34.24 / $38.77	Professional	TC	$30.85	$34.24	$38.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Professional		$30.22	$30.22	$30.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $12.98 / $30.53	Professional	26	$10.18	$12.98	$30.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $29.24 / $38.59	Professional		$16.38	$29.24	$38.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $9.50 / $29.55	Professional	26	$9.50	$9.50	$29.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.88 / $19.73 / $23.29	Professional	TC	$6.88	$19.73	$23.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $51.72 / $82.50	Facility		$20.76	$51.72	$82.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $47.41 / $79.76	Professional		$20.35	$47.41	$79.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Facility		$33.43	$33.43	$33.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $61.85 / $114.22	Professional		$29.62	$61.85	$114.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.80 / $21.80 / $60.83	Professional	26	$10.80	$21.80	$60.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $36.90 / $78.68	Professional	TC	$16.03	$36.90	$78.68
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $63.43 / $107.37	Professional		$37.90	$63.43	$107.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.56 / $23.46 / $41.36	Professional	26	$13.56	$23.46	$41.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $39.70 / $67.48	Professional	TC	$23.82	$39.70	$67.48