Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.29 / $42.29 / $62.97	Facility	26	$42.29	$42.29	$62.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $125.11 / $142.87	Professional		$52.52	$125.11	$142.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.71 / $42.29	Professional	26	$36.31	$38.71	$42.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $86.97 / $100.58	Professional	TC	$16.03	$86.97	$100.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $107.92 / $153.24	Professional		$55.16	$107.92	$153.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.39 / $74.34 / $100.35	Professional	26	$45.39	$74.34	$100.35
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.50 / $33.58 / $52.04	Professional	TC	$9.50	$33.58	$52.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $92.06 / $167.27	Professional		$39.59	$92.06	$167.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $157.44 / $235.51	Professional		$107.33	$157.44	$235.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.74 / $53.79 / $89.54	Professional	26	$45.74	$53.79	$89.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.17 / $96.70 / $155.96	Professional	TC	$21.17	$96.70	$155.96
United Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $115.09 / $200.73	Professional		$61.30	$115.09	$200.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.70 / $45.09 / $74.73	Professional	26	$36.70	$45.09	$74.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $76.53 / $134.56	Professional	TC	$20.36	$76.53	$134.56