Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.63 / $38.47 / $50.95	Facility	26	$34.63	$38.47	$50.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $101.82 / $180.35	Professional		$90.81	$101.82	$180.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.18 / $63.42 / $118.51	Professional	TC	$56.18	$63.42	$118.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $137.11 / $279.66	Professional		$112.96	$137.11	$279.66
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.67 / $91.56 / $212.66	Professional	TC	$66.67	$91.56	$212.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $59.38 / $133.38	Professional		$42.57	$59.38	$133.38
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 $98.92 / $179.02 / $330.63	Professional		$98.92	$179.02	$330.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.61 / $123.17 / $228.00	Professional	TC	$61.61	$123.17	$228.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $123.85	Professional		$32.34	$32.34	$123.85
United Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $133.58 / $193.19	Professional		$91.05	$133.58	$193.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.12 / $83.13 / $147.69	Professional	TC	$52.12	$83.13	$147.69