Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.36 / $19.36 / $32.65	Facility	26	$19.36	$19.36	$32.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $60.86 / $74.03	Professional		$52.27	$60.86	$74.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $19.77 / $24.69	Professional	26	$18.11	$19.77	$24.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.22 / $40.68 / $49.34	Professional	TC	$33.22	$40.68	$49.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $66.31 / $91.50	Professional		$56.03	$66.31	$91.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.36 / $29.20 / $40.29	Professional	26	$23.36	$29.20	$40.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $37.11 / $52.69	Professional	TC	$31.85	$37.11	$52.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $49.78 / $79.84	Professional		$20.29	$49.78	$79.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.92 / $23.92 / $23.92	Facility	26	$23.92	$23.92	$23.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $76.63 / $130.66	Professional		$57.26	$76.63	$130.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.88 / $26.00 / $45.88	Professional	26	$19.88	$26.00	$45.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.77 / $50.97 / $84.09	Professional	TC	$38.77	$50.97	$84.09
United Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $68.27 / $114.33	Professional		$57.12	$68.27	$114.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.47 / $24.26 / $39.38	Professional	26	$20.47	$24.26	$39.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.92 / $45.14 / $73.03	Professional	TC	$36.92	$45.14	$73.03