Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $92.10 / $242.06	Professional		$75.95	$92.10	$242.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.16 / $43.23 / $207.40	Professional	26	$31.16	$43.23	$207.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.21 / $58.50 / $95.62	Professional	TC	$50.21	$58.50	$95.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $63.99 / $72.09	Professional		$51.57	$63.99	$72.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $22.68 / $56.69	Professional	26	$18.89	$22.68	$56.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $56.28 / $93.86	Professional		$50.52	$56.28	$93.86
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $20.42 / $52.56	Professional	26	$20.42	$20.42	$52.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.10 / $35.86 / $47.33	Professional	TC	$30.10	$35.86	$47.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $84.65 / $140.83	Facility		$38.54	$84.65	$140.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $77.59 / $136.08	Professional		$37.79	$77.59	$136.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $143.50	Facility		$143.50	$143.50	$143.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $110.93 / $199.55	Professional		$51.47	$110.93	$199.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $40.81 / $95.00	Professional	26	$22.07	$40.81	$95.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $61.95 / $113.80	Professional	TC	$21.99	$61.95	$113.80
United Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $118.34 / $216.56	Professional		$73.52	$118.34	$216.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $48.18 / $79.41	Professional	26	$26.42	$48.18	$79.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.41 / $74.87 / $138.51	Professional	TC	$45.41	$74.87	$138.51