Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $95.12 / $108.86	Professional		$87.45	$95.12	$108.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.82 / $25.91 / $30.21	Professional	26	$24.82	$25.91	$30.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.63 / $69.37 / $78.65	Professional	TC	$62.63	$69.37	$78.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.69 / $18.69 / $18.69	Professional	26	$18.69	$18.69	$18.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $34.56 / $66.59	Professional		$34.56	$34.56	$66.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.22 / $12.22 / $24.22	Professional	26	$12.22	$12.22	$24.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $22.34 / $42.37	Professional	TC	$22.34	$22.34	$42.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $91.60 / $147.99	Professional		$31.15	$91.60	$147.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $76.52 / $175.49	Professional		$33.22	$76.52	$175.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $25.20 / $53.93	Professional	26	$12.16	$25.20	$53.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.57 / $49.75 / $131.32	Professional	TC	$21.57	$49.75	$131.32
United Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $104.21 / $197.64	Professional		$65.90	$104.21	$197.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $32.97 / $57.66	Professional	26	$20.35	$32.97	$57.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.99 / $69.48 / $137.30	Professional	TC	$42.99	$69.48	$137.30