Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $263.03	Professional		$93.33	$128.82	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $46.77 / $208.93	Professional	26	$25.70	$46.77	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $89.13 / $407.38	Professional	TC	$51.29	$89.13	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.22 / $48.98	Professional	26	$16.22	$16.22	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $69.18	Professional		$25.70	$41.69	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $38.02	Professional	26	$16.60	$16.60	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.33 / $25.12 / $36.31	Professional	TC	$9.33	$25.12	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $120.23 / $173.78	Professional		$36.31	$120.23	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $120.23 / $239.88	Professional		$40.74	$120.23	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $33.88 / $93.33	Professional	26	$17.38	$33.88	$93.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $61.66 / $177.83	Professional	TC	$18.62	$61.66	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $218.78	Professional		$77.62	$117.49	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $39.81 / $66.07	Professional	26	$22.39	$39.81	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $70.79 / $151.36	Professional	TC	$41.69	$70.79	$151.36