Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $38.02 / $38.02	Facility	26	$33.88	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $169.82	Professional		$75.86	$104.71	$169.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $66.07 / $123.03	Professional	TC	$46.77	$66.07	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $288.40	Professional		$123.03	$138.04	$288.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $91.20 / $223.87	Professional	TC	$75.86	$91.20	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $58.88	Professional		$37.15	$50.12	$58.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $45.71 / $64.57	Facility	26	$9.77	$45.71	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $851.14	Professional		$95.50	$208.93	$851.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $162.18 / $338.84	Professional	TC	$58.88	$162.18	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $208.93	Professional		$89.13	$141.25	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $91.20 / $154.88	Professional	TC	$51.29	$91.20	$154.88