Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $103.56 / $578.76	Professional		$67.58	$103.56	$578.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.64 / $22.60 / $33.56	Professional	26	$21.64	$22.60	$33.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.78 / $66.45 / $106.05	Professional	TC	$40.78	$66.45	$106.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $59.16 / $68.31	Professional		$59.16	$59.16	$68.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.04 / $19.87 / $39.60	Professional	26	$13.04	$19.87	$39.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $29.58 / $65.65	Professional		$29.58	$29.58	$65.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $12.10 / $27.53	Professional	26	$12.10	$12.10	$27.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $17.48 / $38.11	Professional	TC	$17.48	$17.48	$38.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $80.87 / $125.15	Professional		$26.40	$80.87	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $69.67 / $155.21	Professional		$32.70	$69.67	$155.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.78 / $24.11 / $45.76	Professional	26	$13.78	$24.11	$45.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $42.64 / $116.41	Professional	TC	$19.43	$42.64	$116.41
United Facility/Professional Professional Modifier Low / Median / High Price $56.51 / $84.97 / $159.72	Professional		$56.51	$84.97	$159.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $29.33 / $53.67	Professional	26	$18.19	$29.33	$53.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.11 / $55.81 / $106.05	Professional	TC	$38.11	$55.81	$106.05