Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $128.82	Professional		$29.51	$38.02	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $23.99 / $85.11	Professional	26	$8.71	$23.99	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.84 / $81.28	Professional	TC	$21.38	$28.84	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $38.02	Professional		$19.05	$25.70	$38.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $6.92 / $14.79	Professional	26	$5.13	$6.92	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $54.95	Professional		$29.51	$41.69	$54.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $15.49 / $19.95	Professional	26	$14.13	$15.49	$19.95
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $28.18 / $37.15	Professional	TC	$10.00	$28.18	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $30.90 / $47.86	Facility		$10.47	$30.90	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $33.11 / $51.29	Professional		$11.22	$33.11	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $70.79 / $131.83	Professional		$20.89	$70.79	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.37 / $10.96 / $26.92	Professional	26	$5.37	$10.96	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $28.84 / $79.43	Professional	TC	$13.80	$28.84	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.95 / $33.11	Facility		$13.18	$19.95	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $74.13	Professional		$25.12	$41.69	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.48 / $20.42	Professional	26	$6.76	$11.48	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $30.20 / $57.54	Professional	TC	$17.78	$30.20	$57.54