Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $39.72 / $67.48	Facility	26	$39.72	$39.72	$67.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $188.26 / $197.83	Professional		$186.16	$188.26	$197.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $146.43 / $146.72 / $157.38	Professional	TC	$146.43	$146.72	$157.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.86 / $244.74 / $347.53	Professional		$196.86	$244.74	$347.53
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $155.37 / $184.54 / $262.04	Professional	TC	$155.37	$184.54	$262.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $179.73 / $238.82	Professional		$46.02	$179.73	$238.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.01 / $308.89 / $530.09	Professional		$248.01	$308.89	$530.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $196.73 / $246.18 / $425.50	Professional	TC	$196.73	$246.18	$425.50
United Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $242.55 / $407.39	Professional		$198.53	$242.55	$407.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.19 / $197.91 / $326.50	Professional	TC	$164.19	$197.91	$326.50