Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $105.76 / $112.01	Professional		$77.42	$105.76	$112.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $18.48 / $22.76	Professional	26	$16.64	$18.48	$22.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $60.10 / $87.29 / $93.22	Professional	TC	$60.10	$87.29	$93.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $65.19 / $124.03	Professional		$55.41	$65.19	$124.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.51 / $20.60 / $33.26	Professional	26	$17.51	$20.60	$33.26
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.90 / $44.59 / $89.76	Professional	TC	$37.90	$44.59	$89.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $27.87 / $150.18	Professional		$17.42	$27.87	$150.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $108.22 / $195.60	Professional		$71.31	$108.22	$195.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $25.42 / $42.59	Professional	26	$18.19	$25.42	$42.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.83 / $86.72 / $160.99	Professional	TC	$49.83	$86.72	$160.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $32.34 / $46.75	Professional		$29.66	$32.34	$46.75
United Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $93.46 / $155.29	Professional		$59.50	$93.46	$155.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.52 / $21.30 / $29.24	Professional	26	$16.52	$21.30	$29.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.57 / $86.39 / $122.37	Professional	TC	$41.57	$86.39	$122.37