Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $105.37 / $125.79	Professional		$91.58	$105.37	$125.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $76.42 / $90.53	Professional	26	$70.62	$76.42	$90.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $29.19 / $35.26	Professional	TC	$20.55	$29.19	$35.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $97.01 / $162.38	Professional		$88.42	$97.01	$162.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $106.71 / $153.36	Professional		$78.55	$106.71	$153.36
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.75 / $77.56 / $107.04	Professional	26	$55.75	$77.56	$107.04
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.51 / $20.64 / $29.30	Professional	TC	$16.51	$20.64	$29.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $74.76 / $116.41	Professional		$25.81	$74.76	$116.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $114.32 / $182.78	Professional		$86.39	$114.32	$182.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.42 / $89.48 / $136.46	Professional	26	$70.42	$89.48	$136.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.37 / $23.15 / $46.38	Professional	TC	$16.37	$23.15	$46.38
United Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $98.10 / $145.37	Professional		$82.28	$98.10	$145.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.55 / $77.48 / $125.02	Professional	26	$64.55	$77.48	$125.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.03 / $23.92 / $38.00	Professional	TC	$17.03	$23.92	$38.00