Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.61 / $27.34 / $35.86	Facility	26	$24.61	$27.34	$35.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $83.15 / $117.41	Professional		$75.56	$83.15	$117.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.52 / $56.44 / $86.27	Professional	TC	$49.52	$56.44	$86.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $92.17 / $144.58	Professional		$76.06	$92.17	$144.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $49.00 / $60.42 / $90.04	Professional	TC	$49.00	$60.42	$90.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $40.96 / $108.16	Professional		$29.44	$40.96	$108.16
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 $82.37 / $130.72 / $234.64	Professional		$82.37	$130.72	$234.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $57.24 / $94.22 / $175.68	Professional	TC	$57.24	$94.22	$175.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $61.45	Professional		$32.34	$32.34	$61.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $109.27 / $148.88	Professional		$79.40	$109.27	$148.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.07 / $75.59 / $107.79	Professional	TC	$53.07	$75.59	$107.79