Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $121.67 / $142.97	Professional		$104.95	$121.67	$142.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $14.69 / $17.42	Professional	26	$13.61	$14.69	$17.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.59 / $107.43 / $124.24	Professional	TC	$85.59	$107.43	$124.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $118.41 / $118.41	Professional		$118.41	$118.41	$118.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $90.25 / $124.54	Professional		$62.77	$90.25	$124.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.15 / $18.89 / $25.51	Professional	26	$13.15	$18.89	$25.51
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.32 / $71.34 / $98.46	Professional	TC	$50.32	$71.34	$98.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $114.86 / $151.09	Professional		$14.40	$114.86	$151.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $117.41 / $193.38	Professional		$76.88	$117.41	$193.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $17.64 / $32.04	Professional	26	$13.54	$17.64	$32.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.25 / $91.25 / $162.31	Professional	TC	$65.25	$91.25	$162.31
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $96.63 / $155.79	Professional		$73.31	$96.63	$155.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $14.55 / $22.52	Professional	26	$12.37	$14.55	$22.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.19 / $83.44 / $132.52	Professional	TC	$64.19	$83.44	$132.52