Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $44.00 / $61.63	Professional		$40.90	$44.00	$61.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.41 / $31.96 / $80.26	Professional	26	$26.41	$31.96	$80.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $16.59 / $19.54	Professional	TC	$14.49	$16.59	$19.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.16 / $16.16 / $48.48	Professional	26	$16.16	$16.16	$48.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $35.11	Professional		$23.61	$23.61	$35.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.26 / $15.26 / $24.96	Professional	26	$15.26	$15.26	$24.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.35 / $8.35 / $11.02	Professional	TC	$8.35	$8.35	$11.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $35.54 / $65.92	Professional		$19.54	$35.54	$65.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $52.72 / $107.11	Professional		$23.84	$52.72	$107.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.91 / $33.72 / $69.37	Professional	26	$15.91	$33.72	$69.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $8.31 / $17.75 / $41.28	Professional	TC	$8.31	$17.75	$41.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $53.78 / $96.93	Professional		$34.21	$53.78	$96.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $36.22 / $63.80	Professional	26	$22.52	$36.22	$63.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.69 / $19.23 / $33.13	Professional	TC	$11.69	$19.23	$33.13