Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.01 / $26.01 / $43.08	Facility	26	$26.01	$26.01	$43.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $84.36 / $106.73	Professional		$74.13	$84.36	$106.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.63 / $56.44 / $78.43	Professional	TC	$47.63	$56.44	$78.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $86.80 / $123.25	Professional		$79.48	$86.80	$123.25
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.00 / $52.81 / $69.58	Professional	TC	$49.00	$52.81	$69.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $67.50 / $107.31	Professional		$27.08	$67.50	$107.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $112.64 / $188.78	Professional		$79.66	$112.64	$188.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.75 / $73.81 / $129.51	Professional	TC	$51.75	$73.81	$129.51
United Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $109.18 / $173.17	Professional		$82.38	$109.18	$173.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.00 / $77.13 / $117.95	Professional	TC	$54.00	$77.13	$117.95