Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $44.42 / $51.12	Professional		$42.03	$44.42	$51.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $29.99 / $46.00	Professional	26	$27.96	$29.99	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.07 / $14.68 / $17.01	Professional	TC	$14.07	$14.68	$17.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.09 / $23.09 / $25.70	Professional	26	$23.09	$23.09	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.67 / $33.90	Professional		$25.47	$25.67	$33.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $16.27 / $24.70	Professional	26	$16.27	$16.27	$24.70
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.19 / $9.40 / $14.27	Professional	TC	$9.19	$9.40	$14.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $40.71 / $64.39	Professional		$17.30	$40.71	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $52.70 / $92.98	Professional		$21.90	$52.70	$92.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $34.90 / $76.91	Professional	26	$15.85	$34.90	$76.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.05 / $15.43 / $32.14	Professional	TC	$6.05	$15.43	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $56.15 / $98.16	Professional		$34.64	$56.15	$98.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.10 / $38.32 / $67.48	Professional	26	$23.10	$38.32	$67.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $17.07 / $30.67	Professional	TC	$10.82	$17.07	$30.67