Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.55 / $86.55 / $133.38	Facility	26	$86.55	$86.55	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $370.50 / $494.18	Professional		$330.20	$370.50	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $90.52 / $140.00	Professional	26	$85.00	$90.52	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $243.68 / $279.52 / $367.25	Professional	TC	$243.68	$279.52	$367.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.00 / $531.71 / $797.56	Professional		$402.00	$531.71	$797.56
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $114.00 / $171.00	Professional	26	$91.20	$114.00	$171.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $603.00 / $797.56 / $1,196.33	Professional	50	$603.00	$797.56	$1,196.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $300.00 / $417.71 / $624.00	Professional	TC	$300.00	$417.71	$624.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $275.24 / $416.21	Professional		$83.86	$275.24	$416.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.37 / $97.37 / $97.37	Facility	26	$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.93 / $596.83 / $1,060.49	Professional		$332.93	$596.83	$1,060.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.61 / $112.80 / $189.01	Professional	26	$80.61	$112.80	$189.01
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $507.23 / $507.23 / $580.67	Professional	50	$507.23	$507.23	$580.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.09 / $480.69 / $849.47	Professional	TC	$250.09	$480.69	$849.47
United Facility/Professional Professional Modifier Low / Median / High Price $341.61 / $487.11 / $816.18	Professional		$341.61	$487.11	$816.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.45 / $97.98 / $182.16	Professional	26	$80.45	$97.98	$182.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $261.54 / $395.33 / $639.19	Professional	TC	$261.54	$395.33	$639.19