Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.51 / $79.51 / $129.47	Facility	26	$79.51	$79.51	$129.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.43 / $298.47 / $370.88	Professional		$281.43	$298.47	$370.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.51 / $84.65 / $107.87	Professional	26	$79.51	$84.65	$107.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.52 / $213.81 / $263.01	Professional	TC	$201.52	$213.81	$263.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.96 / $300.76 / $427.07	Professional		$251.96	$300.76	$427.07
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.15 / $119.10 / $164.35	Professional	26	$92.15	$119.10	$164.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.37 / $181.66 / $256.63	Professional	TC	$151.37	$181.66	$256.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $207.95 / $324.87	Professional		$84.27	$207.95	$324.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $393.08 / $716.67	Professional		$263.85	$393.08	$716.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.33 / $105.17 / $183.04	Professional	26	$82.33	$105.17	$183.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.34 / $267.98 / $450.01	Professional	TC	$177.34	$267.98	$450.01
United Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $369.36 / $587.85	Professional		$249.00	$369.36	$587.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $98.03 / $167.48	Professional	26	$80.34	$98.03	$167.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $176.27 / $257.01 / $410.03	Professional	TC	$176.27	$257.01	$410.03