Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $83.48 / $170.78	Professional		$74.86	$83.48	$170.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.31 / $66.79 / $615.60	Professional	26	$46.31	$66.79	$615.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.07 / $31.02 / $36.13	Professional	TC	$28.07	$31.02	$36.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.76 / $35.75 / $84.60	Professional	26	$27.76	$35.75	$84.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $40.11 / $61.52	Professional		$39.89	$40.11	$61.52
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $26.64 / $45.76	Professional	26	$26.64	$26.64	$45.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $13.48 / $13.48 / $21.20	Professional	TC	$13.48	$13.48	$21.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $67.86 / $120.45	Facility		$36.96	$67.86	$120.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $62.04 / $117.57	Professional		$36.24	$62.04	$117.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $143.50	Facility		$143.50	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $97.91 / $175.01	Professional		$41.67	$97.91	$175.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.72 / $60.06 / $132.06	Professional	26	$29.72	$60.06	$132.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $28.37 / $63.38	Professional	TC	$10.55	$28.37	$63.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $94.64 / $170.56	Professional		$60.20	$94.64	$170.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $64.09 / $111.04	Professional	26	$39.19	$64.09	$111.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.94 / $30.24 / $57.97	Professional	TC	$19.94	$30.24	$57.97