Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.16 / $48.16 / $58.87	Facility	26	$48.16	$48.16	$58.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $95.59 / $157.44	Professional		$85.28	$95.59	$157.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $47.77 / $60.85	Professional	26	$43.42	$47.77	$60.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.75 / $44.73 / $84.67	Professional	TC	$38.75	$44.73	$84.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $110.23 / $237.28	Professional		$83.66	$110.23	$237.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.21 / $53.18 / $73.98	Professional	26	$45.21	$53.18	$73.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.45 / $50.66 / $213.44	Professional	TC	$38.45	$50.66	$213.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $56.43 / $118.96	Professional		$44.06	$56.43	$118.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.93 / $56.93 / $56.93	Facility	26	$56.93	$56.93	$56.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.64 / $177.25 / $374.29	Professional		$117.64	$177.25	$374.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.24 / $71.78 / $98.74	Professional	26	$48.24	$71.78	$98.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $123.06 / $262.47	Professional	TC	$54.88	$123.06	$262.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.47	Professional		$32.34	$32.34	$93.47
United Facility/Professional Professional Modifier Low / Median / High Price $84.73 / $114.03 / $192.81	Professional		$84.73	$114.03	$192.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.55 / $52.33 / $74.94	Professional	26	$43.55	$52.33	$74.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.57 / $55.65 / $143.54	Professional	TC	$37.57	$55.65	$143.54