Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $104.71 / $132.11	Professional		$76.06	$104.71	$132.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.93 / $17.55 / $22.76	Professional	26	$15.93	$17.55	$22.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $87.29 / $109.35	Professional	TC	$60.10	$87.29	$109.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $67.90 / $98.65	Professional		$60.31	$67.90	$98.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.00 / $25.50 / $35.19	Professional	26	$20.00	$25.50	$35.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.51 / $42.40 / $65.72	Professional	TC	$40.51	$42.40	$65.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $96.43 / $133.18	Professional		$18.47	$96.43	$133.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $96.50 / $181.94	Professional		$66.00	$96.50	$181.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.67 / $23.72 / $40.88	Professional	26	$17.67	$23.72	$40.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.08 / $78.45 / $150.29	Professional	TC	$45.08	$78.45	$150.29
United Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $104.91 / $186.78	Professional		$69.06	$104.91	$186.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $20.28 / $35.04	Professional	26	$17.38	$20.28	$35.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.63 / $85.92 / $159.04	Professional	TC	$50.63	$85.92	$159.04