Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.61 / $54.71 / $98.49	Facility	26	$48.61	$54.71	$98.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $163.19 / $250.47	Professional		$143.13	$163.19	$250.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.61 / $53.82 / $85.08	Professional	26	$48.61	$53.82	$85.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $94.52 / $109.37 / $165.40	Professional	TC	$94.52	$109.37	$165.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $183.24 / $230.59	Professional		$155.75	$183.24	$230.59
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.67 / $64.31 / $79.91	Professional	26	$54.67	$64.31	$79.91
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $101.08 / $118.92 / $158.47	Professional	TC	$101.08	$118.92	$158.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $84.16 / $224.22	Professional		$59.75	$84.16	$224.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.82 / $63.82 / $63.82	Facility	26	$63.82	$63.82	$63.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.61 / $283.00 / $984.21	Professional		$194.61	$283.00	$984.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.54 / $93.78 / $279.11	Professional	26	$58.54	$93.78	$279.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.04 / $202.24 / $562.83	Professional	TC	$139.04	$202.24	$562.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.86	Professional		$32.34	$32.34	$169.86
United Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $205.55 / $253.98	Professional		$169.64	$205.55	$253.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.11 / $66.79 / $83.85	Professional	26	$53.11	$66.79	$83.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $110.56 / $136.96 / $194.00	Professional	TC	$110.56	$136.96	$194.00