Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $153.10 / $235.55	Professional		$92.16	$153.10	$235.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $18.66 / $22.25	Professional	26	$17.79	$18.66	$22.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.99 / $134.44 / $156.53	Professional	TC	$108.99	$134.44	$156.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $13.58 / $13.58	Professional	26	$13.58	$13.58	$13.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $216.17	Professional		$64.54	$64.54	$216.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $20.29 / $54.91	Professional	26	$20.29	$20.29	$54.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $44.25 / $161.25	Professional	TC	$44.25	$44.25	$161.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $163.74 / $228.57	Professional		$21.48	$163.74	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $185.43 / $332.47	Professional		$89.41	$185.43	$332.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.73 / $25.88 / $58.60	Professional	26	$12.73	$25.88	$58.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.01 / $129.15 / $242.52	Professional	TC	$62.01	$129.15	$242.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $174.28 / $311.05	Professional		$109.78	$174.28	$311.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $28.72 / $56.44	Professional	26	$15.59	$28.72	$56.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.26 / $142.33 / $260.45	Professional	TC	$90.26	$142.33	$260.45