Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $116.26 / $196.22	Professional		$92.19	$116.26	$196.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.82 / $28.04 / $37.99	Professional	26	$26.82	$28.04	$37.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.49 / $88.23 / $102.41	Professional	TC	$51.49	$88.23	$102.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $77.31 / $89.87	Professional		$77.31	$77.31	$89.87
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $24.61 / $49.11	Professional	26	$16.14	$24.61	$49.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $41.40 / $54.64	Professional		$25.85	$41.40	$54.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $16.48 / $38.21	Professional	26	$16.48	$16.48	$38.21
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.36 / $24.92 / $32.89	Professional	TC	$9.36	$24.92	$32.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $107.62 / $163.55	Professional		$32.74	$107.62	$163.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $106.84 / $219.00	Professional		$43.90	$106.84	$219.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $34.84 / $92.96	Professional	26	$18.32	$34.84	$92.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.91 / $61.47 / $155.21	Professional	TC	$19.91	$61.47	$155.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $117.88 / $217.72	Professional		$77.09	$117.88	$217.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.52 / $40.15 / $66.58	Professional	26	$22.52	$40.15	$66.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.87 / $65.05 / $151.13	Professional	TC	$41.87	$65.05	$151.13