Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.63 / $70.81	Professional		$27.44	$35.63	$70.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $11.33 / $45.41	Professional	26	$8.55	$11.33	$45.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.56 / $25.50 / $42.98	Professional	TC	$21.56	$25.50	$42.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $20.18 / $38.45	Professional		$18.32	$20.18	$38.45
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.11 / $6.15 / $15.39	Professional	26	$5.11	$6.15	$15.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $42.08 / $55.54	Professional		$29.45	$42.08	$55.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.26 / $14.08 / $19.60	Professional	26	$11.26	$14.08	$19.60
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $28.00 / $36.96	Professional	TC	$10.11	$28.00	$36.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $33.83 / $49.99	Facility		$10.46	$33.83	$49.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $31.01 / $48.37	Professional		$10.26	$31.01	$48.37
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 $19.54 / $40.42 / $120.00	Professional		$19.54	$40.42	$120.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.42 / $11.08 / $26.00	Professional	26	$5.42	$11.08	$26.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.74 / $28.87 / $79.26	Professional	TC	$13.74	$28.87	$79.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.05 / $73.12	Professional		$25.12	$46.05	$73.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.15 / $11.70 / $20.25	Professional	26	$7.15	$11.70	$20.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $32.95 / $56.57	Professional	TC	$17.97	$32.95	$56.57