Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.43 / $34.92 / $65.31	Facility	26	$31.43	$34.92	$65.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $137.34 / $255.66	Professional		$121.69	$137.34	$255.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $34.92 / $65.31	Professional	26	$31.43	$34.92	$65.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.26 / $104.36 / $190.35	Professional	TC	$90.26	$104.36	$190.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $126.16 / $196.58	Professional		$112.79	$126.16	$196.58
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.64 / $38.40 / $58.46	Professional	26	$32.64	$38.40	$58.46
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.51 / $88.88 / $142.68	Professional	TC	$75.51	$88.88	$142.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $55.14 / $187.84	Professional		$38.25	$55.14	$187.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.92 / $40.92 / $40.92	Facility	26	$40.92	$40.92	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $176.76 / $294.27	Professional		$120.46	$176.76	$294.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $48.22 / $85.52	Professional	26	$31.90	$48.22	$85.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.70 / $130.58 / $221.50	Professional	TC	$83.70	$130.58	$221.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $91.09	Professional		$32.34	$32.34	$91.09
United Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $146.68 / $210.52	Professional		$116.42	$146.68	$210.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.51 / $38.64 / $56.63	Professional	26	$33.51	$38.64	$56.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.08 / $111.97 / $157.02	Professional	TC	$80.08	$111.97	$157.02