Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.58 / $72.47 / $84.54	Professional		$68.58	$72.47	$84.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.09 / $51.37 / $105.87	Professional	26	$46.09	$51.37	$105.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.42 / $24.18 / $28.21	Professional	TC	$21.42	$24.18	$28.21
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $35.54 / $42.21	Professional	26	$28.06	$35.54	$42.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $41.48 / $72.30	Professional		$41.48	$41.48	$72.30
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $26.64 / $55.68	Professional	26	$26.64	$26.64	$55.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.84 / $14.84 / $19.57	Professional	TC	$14.84	$14.84	$19.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $61.74 / $106.93	Professional		$27.89	$61.74	$106.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $88.38 / $162.72	Professional		$41.96	$88.38	$162.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $58.89 / $132.43	Professional	26	$29.23	$58.89	$132.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.86 / $25.45 / $52.94	Professional	TC	$9.86	$25.45	$52.94
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $92.03 / $156.44	Professional		$55.22	$92.03	$156.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.19 / $64.34 / $111.04	Professional	26	$39.19	$64.34	$111.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $26.71 / $45.41	Professional	TC	$16.03	$26.71	$45.41