Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.98 / $11.98 / $18.47	Facility	26	$11.98	$11.98	$18.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $95.56 / $117.91	Professional		$75.76	$95.56	$117.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $12.20 / $15.10	Professional	26	$11.43	$12.20	$15.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.46 / $83.36 / $102.81	Professional	TC	$63.46	$83.36	$102.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $81.39 / $126.15	Professional		$67.84	$81.39	$126.15
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.97 / $17.30 / $23.87	Professional	26	$12.97	$17.30	$23.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.55 / $64.09 / $99.33	Professional	TC	$54.55	$64.09	$99.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $89.82 / $121.26	Professional		$11.61	$89.82	$121.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $156.54 / $253.61	Professional		$99.36	$156.54	$253.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.26 / $25.50	Professional	26	$11.22	$14.26	$25.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.61 / $140.63 / $216.41	Professional	TC	$86.61	$140.63	$216.41
United Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $139.44 / $231.74	Professional		$101.10	$139.44	$231.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $12.63 / $22.92	Professional	26	$10.74	$12.63	$22.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.25 / $126.81 / $211.28	Professional	TC	$90.25	$126.81	$211.28