Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $77.36 / $514.12	Professional		$64.63	$77.36	$514.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.41 / $16.18 / $19.80	Professional	26	$15.41	$16.18	$19.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.08 / $53.04 / $61.64	Professional	TC	$49.08	$53.04	$61.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $27.44 / $27.44	Professional	26	$27.44	$27.44	$27.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $34.84 / $45.98	Professional		$17.42	$34.84	$45.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $9.50 / $20.32	Professional	26	$9.50	$9.50	$20.32
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.92 / $25.34 / $38.60	Professional	TC	$7.92	$25.34	$38.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $67.97 / $96.70	Professional		$18.29	$67.97	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $79.53 / $151.41	Professional		$37.38	$79.53	$151.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.87 / $19.73 / $49.12	Professional	26	$10.87	$19.73	$49.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.78 / $57.41 / $110.58	Professional	TC	$16.78	$57.41	$110.58
United Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $90.77 / $166.11	Professional		$59.11	$90.77	$166.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $22.95 / $39.27	Professional	26	$13.86	$22.95	$39.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.25 / $68.47 / $125.30	Professional	TC	$45.25	$68.47	$125.30