Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.25 / $103.69 / $117.86	Facility	26	$84.25	$103.69	$117.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $319.01 / $517.34	Professional		$285.77	$319.01	$517.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.31 / $87.67 / $152.61	Professional	26	$83.31	$87.67	$152.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.52 / $230.66 / $364.72	Professional	TC	$201.52	$230.66	$364.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $278.35 / $381.02	Professional		$229.70	$278.35	$381.02
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.31 / $93.80 / $131.19	Professional	26	$78.31	$93.80	$131.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $151.37 / $183.43 / $260.00	Professional	TC	$151.37	$183.43	$260.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $155.82 / $371.52	Professional		$88.10	$155.82	$371.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $95.50	Facility	26	$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $391.12 / $600.01	Professional		$270.24	$391.12	$600.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.81 / $121.72 / $186.69	Professional	26	$81.81	$121.72	$186.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.66 / $278.26 / $433.40	Professional	TC	$190.66	$278.26	$433.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $292.74 / $406.73 / $547.15	Professional		$292.74	$406.73	$547.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.83 / $121.25 / $166.68	Professional	26	$80.83	$121.25	$166.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $192.77 / $282.60 / $377.49	Professional	TC	$192.77	$282.60	$377.49