Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $57.26 / $81.63	Professional		$50.88	$57.26	$81.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.52 / $25.68 / $117.30	Professional	26	$5.52	$25.68	$117.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.00 / $32.61 / $40.86	Professional	TC	$30.00	$32.61	$40.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $32.38 / $32.38	Professional		$30.76	$32.38	$32.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.57 / $15.08 / $37.70	Professional	26	$12.57	$15.08	$37.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $40.98 / $90.38	Professional		$40.98	$40.98	$90.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.46 / $22.46 / $48.55	Professional	26	$22.46	$22.46	$48.55
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $18.52 / $41.83	Professional	TC	$18.52	$18.52	$41.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $43.85 / $80.17	Facility		$25.63	$43.85	$80.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $40.19 / $77.79	Professional		$25.13	$40.19	$77.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $49.47	Facility		$49.47	$49.47	$49.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $63.77 / $193.15	Professional		$45.63	$63.77	$193.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $30.47 / $87.70	Professional	26	$14.09	$30.47	$87.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.64 / $36.59 / $71.33	Professional	TC	$19.64	$36.59	$71.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $68.56 / $152.58	Professional		$41.14	$68.56	$152.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $32.35 / $64.80	Professional	26	$17.32	$32.35	$64.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $40.82 / $68.12	Professional	TC	$23.82	$40.82	$68.12