Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.07 / $87.07 / $145.53	Facility	26	$87.07	$87.07	$145.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $138.38 / $155.96	Professional		$124.20	$138.38	$155.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.60 / $48.90 / $61.51	Professional	TC	$42.60	$48.90	$61.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $205.35 / $300.00	Professional		$164.28	$205.35	$300.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.42 / $81.77 / $116.11	Professional	TC	$51.42	$81.77	$116.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $107.64 / $180.68	Professional		$54.89	$107.64	$180.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $236.70 / $326.19	Professional		$167.71	$236.70	$326.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.49 / $103.30 / $138.91	Professional	TC	$56.49	$103.30	$138.91
United Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $169.73 / $276.69	Professional		$135.65	$169.73	$276.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.47 / $58.82 / $109.75	Professional	TC	$45.47	$58.82	$109.75