Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.04 / $96.04 / $131.74	Facility	26	$96.04	$96.04	$131.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.39 / $860.48 / $987.18	Professional		$830.39	$860.48	$987.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $738.55 / $764.43 / $884.48	Professional	TC	$738.55	$764.43	$884.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.53 / $891.02 / $1,060.63	Professional		$360.53	$891.02	$1,060.63
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $237.21 / $776.48 / $924.28	Professional	TC	$237.21	$776.48	$924.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $129.13 / $184.48	Professional		$90.16	$129.13	$184.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.28 / $114.28 / $114.28	Facility	26	$114.28	$114.28	$114.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.43 / $989.72 / $1,587.18	Professional		$433.43	$989.72	$1,587.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $294.41 / $836.89 / $1,415.65	Professional	TC	$294.41	$836.89	$1,415.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $888.53	Professional		$32.34	$32.34	$888.53
United Facility/Professional Professional Modifier Low / Median / High Price $364.23 / $866.15 / $1,147.08	Professional		$364.23	$866.15	$1,147.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $303.08 / $709.59 / $996.28	Professional	TC	$303.08	$709.59	$996.28