Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.28 / $42.28 / $71.27	Facility	26	$42.28	$42.28	$71.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $191.98 / $262.83	Professional		$190.49	$191.98	$262.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.28 / $42.93 / $79.70	Professional	26	$42.28	$42.93	$79.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $148.21 / $149.66 / $207.05	Professional	TC	$148.21	$149.66	$207.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.70 / $259.63 / $368.67	Professional		$207.70	$259.63	$368.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.11 / $64.80 / $87.48	Professional	26	$51.11	$64.80	$87.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $158.15 / $194.83 / $276.64	Professional	TC	$158.15	$194.83	$276.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $165.35 / $241.74	Professional		$44.81	$165.35	$241.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.62 / $327.31 / $540.92	Professional		$258.62	$327.31	$540.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.76 / $65.83 / $109.31	Professional	26	$53.76	$65.83	$109.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.26 / $249.19 / $431.62	Professional	TC	$195.26	$249.19	$431.62
United Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $245.74 / $415.08	Professional		$199.70	$245.74	$415.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.32 / $49.47 / $88.61	Professional	26	$42.32	$49.47	$88.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.72 / $199.35 / $331.21	Professional	TC	$159.72	$199.35	$331.21