Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $40.74 / $40.74	Facility	26	$37.15	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $269.15	Professional		$169.82	$199.53	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $162.18 / $245.47	Professional	TC	$131.83	$162.18	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $363.08	Professional		$204.17	$239.88	$363.08
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $186.21 / $302.00	Professional	TC	$158.49	$186.21	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $66.07	Professional		$36.31	$52.48	$66.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $1,071.52	Professional		$275.42	$446.68	$1,071.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $363.08 / $758.58	Professional	TC	$223.87	$363.08	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $346.74	Professional		$223.87	$263.03	$346.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $208.93 / $281.84	Professional	TC	$173.78	$208.93	$281.84