Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.81 / $36.81 / $62.56	Facility	26	$36.81	$36.81	$62.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $101.82 / $138.69	Professional		$84.66	$101.82	$138.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.26 / $63.42 / $100.62	Professional	TC	$50.26	$63.42	$100.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $180.57 / $261.82	Professional		$133.11	$180.57	$261.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $88.90 / $126.77 / $190.15	Professional	TC	$88.90	$126.77	$190.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $70.00 / $132.33	Professional		$39.33	$70.00	$132.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.47 / $45.47 / $45.47	Facility	26	$45.47	$45.47	$45.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $190.04 / $315.16	Professional		$96.37	$190.04	$315.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.61 / $126.77 / $222.77	Professional	TC	$61.61	$126.77	$222.77
United Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $134.34 / $228.56	Professional		$91.05	$134.34	$228.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $81.64 / $160.91	Professional	TC	$52.33	$81.64	$160.91