Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $93.44 / $112.70	Professional		$85.49	$93.44	$112.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.90 / $40.02 / $167.68	Professional	26	$32.90	$40.02	$167.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.58 / $64.84 / $163.40	Professional	TC	$52.58	$64.84	$163.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.77 / $19.77 / $25.16	Professional	26	$19.77	$19.77	$25.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $61.79 / $105.40	Professional		$61.79	$61.79	$105.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $22.33 / $41.11	Professional	26	$22.33	$22.33	$41.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.46 / $39.46 / $64.30	Professional	TC	$39.46	$39.46	$64.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $72.68 / $132.91	Professional		$39.53	$72.68	$132.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $114.07 / $258.91	Professional		$60.61	$114.07	$258.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.39 / $41.92 / $98.92	Professional	26	$23.39	$41.92	$98.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.89 / $71.06 / $140.91	Professional	TC	$36.89	$71.06	$140.91
United Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $129.19 / $219.64	Professional		$72.19	$129.19	$219.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.94 / $51.22 / $85.32	Professional	26	$27.94	$51.22	$85.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.58 / $88.18 / $137.30	Professional	TC	$49.58	$88.18	$137.30