Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.21 / $18.21 / $29.10	Facility	26	$18.21	$18.21	$29.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $60.86 / $83.37	Professional		$53.62	$60.86	$83.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.21 / $20.19 / $24.69	Professional	26	$18.21	$20.19	$24.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.40 / $40.68 / $64.01	Professional	TC	$35.40	$40.68	$64.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $62.51 / $90.29	Professional		$53.13	$62.51	$90.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.96 / $24.66 / $37.22	Professional	26	$20.96	$24.66	$37.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.85 / $37.85 / $56.21	Professional	TC	$31.85	$37.85	$56.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $30.98 / $83.82	Professional		$21.39	$30.98	$83.82
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 $57.75 / $84.24 / $133.41	Professional		$57.75	$84.24	$133.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.54 / $45.87	Professional	26	$20.89	$30.54	$45.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.13 / $54.12 / $94.99	Professional	TC	$39.13	$54.12	$94.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $32.34 / $47.24	Professional		$29.29	$32.34	$47.24
United Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $66.93 / $89.94	Professional		$56.65	$66.93	$89.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $24.38 / $34.11	Professional	26	$18.98	$24.38	$34.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.45 / $43.50 / $62.25	Professional	TC	$34.45	$43.50	$62.25