Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.16 / $86.16 / $132.80	Facility	26	$86.16	$86.16	$132.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.15 / $415.24 / $522.50	Professional		$346.15	$415.24	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $101.09 / $140.00	Professional	26	$85.00	$101.09	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $314.14 / $371.42	Professional	TC	$259.35	$314.14	$371.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.95 / $536.02 / $804.03	Professional		$403.95	$536.02	$804.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.19 / $119.00 / $178.50	Professional	26	$95.19	$119.00	$178.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.00 / $417.02 / $624.00	Professional	TC	$300.00	$417.02	$624.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $277.39 / $418.15	Professional		$82.51	$277.39	$418.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.55 / $96.55 / $96.55	Facility	26	$96.55	$96.55	$96.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.10 / $598.30 / $1,131.48	Professional		$334.10	$598.30	$1,131.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.13 / $111.81 / $186.72	Professional	26	$80.13	$111.81	$186.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.05 / $480.69 / $925.00	Professional	TC	$251.05	$480.69	$925.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.39 / $490.79 / $837.47	Professional		$360.39	$490.79	$837.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $95.72 / $168.76	Professional	26	$77.31	$95.72	$168.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.48 / $396.11 / $677.58	Professional	TC	$260.48	$396.11	$677.58