Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $43.19 / $65.65	Professional		$35.52	$43.19	$65.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $17.71 / $26.00	Professional	26	$16.23	$17.71	$26.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $22.92 / $29.37	Professional	TC	$19.39	$22.92	$29.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $45.43 / $61.20	Professional		$36.34	$45.43	$61.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.30 / $21.14 / $27.90	Professional	26	$17.30	$21.14	$27.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.53 / $24.89 / $33.20	Professional	TC	$19.53	$24.89	$33.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $28.10 / $53.10	Professional		$20.01	$28.10	$53.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $60.54 / $113.26	Professional		$41.75	$60.54	$113.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.00 / $24.93 / $45.26	Professional	26	$18.00	$24.93	$45.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $33.84 / $59.85	Professional	TC	$21.73	$33.84	$59.85
United Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $47.87 / $71.06	Professional		$38.21	$47.87	$71.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $20.71 / $27.51	Professional	26	$17.89	$20.71	$27.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $25.56 / $43.77	Professional	TC	$20.29	$25.56	$43.77