Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $85.23 / $350.00	Facility		$10.19	$85.23	$350.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $7.08 / $11.95	Facility	26	$7.08	$7.08	$11.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.27 / $19.70	Professional		$9.90	$12.27	$19.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.89 / $7.99 / $11.66	Professional	26	$6.89	$7.99	$11.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.36 / $11.36 / $11.36	Professional	50	$11.36	$11.36	$11.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.12 / $3.74 / $4.88	Professional	TC	$3.12	$3.74	$4.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $350.00 / $400.00	Facility		$4.05	$350.00	$400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $14.47 / $20.54	Professional		$11.57	$14.47	$20.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.90 / $16.42	Professional	26	$9.52	$11.90	$16.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.36 / $21.70 / $30.82	Professional	50	$17.36	$21.70	$30.82
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $2.56 / $2.57 / $4.33	Professional	TC	$2.56	$2.57	$4.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $8.52 / $13.78	Facility		$3.47	$8.52	$13.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $8.48 / $13.27	Professional		$3.34	$8.48	$13.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $350.00 / $350.00	Facility		$11.63	$350.00	$350.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $15.31 / $26.20	Professional		$11.17	$15.31	$26.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $10.82 / $18.91	Professional	26	$7.67	$10.82	$18.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.69 / $3.94 / $8.17	Professional	TC	$2.69	$3.94	$8.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $13.88 / $22.88	Professional		$10.67	$13.88	$22.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $9.40 / $14.57	Professional	26	$7.37	$9.40	$14.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.00 / $4.12 / $6.47	Professional	TC	$3.00	$4.12	$6.47