Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.36 / $41.53 / $57.50	Facility	26	$37.36	$41.53	$57.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.43 / $188.26 / $261.75	Professional		$169.43	$188.26	$261.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $132.06 / $146.72 / $211.63	Professional	TC	$132.06	$146.72	$211.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.75 / $238.54 / $284.48	Professional		$202.75	$238.54	$284.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $156.35 / $188.27 / $223.31	Professional	TC	$156.35	$188.27	$223.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $64.03 / $273.13	Professional		$40.02	$64.03	$273.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.71 / $48.71 / $48.71	Facility	26	$48.71	$48.71	$48.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $354.10 / $1,037.46	Professional		$239.68	$354.10	$1,037.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $189.68 / $279.25 / $754.62	Professional	TC	$189.68	$279.25	$754.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $195.10	Professional		$32.34	$32.34	$195.10
United Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $263.57 / $343.64	Professional		$221.34	$263.57	$343.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.94 / $193.31 / $258.43	Professional	TC	$166.94	$193.31	$258.43