Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $42.48 / $49.60	Professional		$40.10	$42.48	$49.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.78 / $25.41 / $178.60	Professional	26	$22.78	$25.41	$178.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.82 / $18.61 / $21.76	Professional	TC	$16.82	$18.61	$21.76
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $13.95 / $41.84	Professional	26	$13.95	$13.95	$41.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $21.74 / $31.04	Professional		$21.02	$21.74	$31.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $13.10 / $23.12	Professional	26	$13.10	$13.10	$23.12
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.92 / $8.64 / $12.20	Professional	TC	$7.92	$8.64	$12.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $36.26 / $67.66	Facility		$26.68	$36.26	$67.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $33.35 / $62.65	Professional		$22.23	$33.35	$62.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $52.14	Facility		$52.14	$52.14	$52.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $51.37 / $90.56	Professional		$19.73	$51.37	$90.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $29.81 / $66.43	Professional	26	$14.69	$29.81	$66.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.42 / $13.35 / $35.11	Professional	TC	$4.42	$13.35	$35.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $52.14 / $94.49	Professional		$33.35	$52.14	$94.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.48 / $31.30 / $55.22	Professional	26	$19.48	$31.30	$55.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.72 / $19.12 / $38.14	Professional	TC	$8.72	$19.12	$38.14