Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $89.35 / $104.48	Professional		$82.36	$89.35	$104.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.58 / $71.94 / $93.00	Professional	26	$65.58	$71.94	$93.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.14 / $22.63 / $37.47	Professional	TC	$21.14	$22.63	$37.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $40.04 / $121.92 / $121.92	Professional	26	$40.04	$121.92	$121.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $58.91 / $77.76	Professional		$46.58	$58.91	$77.76
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $36.58 / $53.58	Professional	26	$36.58	$36.58	$53.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $22.33 / $29.47	Professional	TC	$10.00	$22.33	$29.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $85.34 / $134.97	Professional		$26.70	$85.34	$134.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $109.57 / $218.00	Professional		$56.71	$109.57	$218.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.86 / $83.03 / $185.65	Professional	26	$35.86	$83.03	$185.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.91 / $25.78 / $80.98	Professional	TC	$13.91	$25.78	$80.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $121.27 / $200.01	Professional		$70.59	$121.27	$200.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.57 / $88.35 / $154.62	Professional	26	$54.57	$88.35	$154.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.02 / $31.80 / $56.14	Professional	TC	$16.02	$31.80	$56.14