Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.29 / $21.29 / $41.53	Facility	26	$21.29	$21.29	$41.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $126.81 / $159.49	Professional		$107.96	$126.81	$159.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.11 / $105.52 / $132.38	Professional	TC	$79.11	$105.52	$132.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $104.92 / $148.97	Professional		$94.55	$104.92	$148.97
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.55 / $73.02 / $108.67	Professional	TC	$69.55	$73.02	$108.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $122.22 / $168.79	Professional		$22.88	$122.22	$168.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $143.36 / $251.44	Professional		$104.12	$143.36	$251.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.15 / $106.08 / $198.62	Professional	TC	$81.15	$106.08	$198.62
United Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $128.13 / $223.90	Professional		$102.30	$128.13	$223.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.47 / $102.57 / $182.83	Professional	TC	$77.47	$102.57	$182.83