Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.11 / $13.62 / $14.54	Facility	26	$9.11	$13.62	$14.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $38.34 / $71.05	Professional		$33.86	$38.34	$71.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.09 / $16.09	Professional	26	$9.11	$10.09	$16.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.76 / $28.24 / $53.05	Professional	TC	$24.76	$28.24	$53.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $36.33 / $59.20	Professional		$30.88	$36.33	$59.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $11.62 / $19.05	Professional	26	$9.88	$11.62	$19.05
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.38 / $24.70 / $40.94	Professional	TC	$20.38	$24.70	$40.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.49 / $52.22	Professional		$11.13	$15.49	$52.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $48.67 / $78.72	Professional		$35.50	$48.67	$78.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $15.53 / $24.16	Professional	26	$10.23	$15.53	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.59 / $35.50 / $57.53	Professional	TC	$25.59	$35.50	$57.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $32.34 / $32.34	Professional		$19.69	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.79 / $62.92	Professional		$32.34	$39.79	$62.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.32 / $11.61 / $17.32	Professional	26	$9.32	$11.61	$17.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.81 / $27.68 / $43.30	Professional	TC	$22.81	$27.68	$43.30