Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.37 / $20.37 / $20.37	Facility	26	$20.37	$20.37	$20.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $56.49 / $64.43	Professional		$48.50	$56.49	$64.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.32 / $21.14 / $25.46	Professional	26	$20.32	$21.14	$25.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.16 / $33.59 / $38.96	Professional	TC	$28.16	$33.59	$38.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $29.66 / $74.93	Professional		$18.35	$29.66	$74.93
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $11.95 / $39.76	Professional	26	$11.95	$11.95	$39.76
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.60 / $7.20 / $33.65	Professional	TC	$5.60	$7.20	$33.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $50.44 / $97.34	Professional		$30.01	$50.44	$97.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.58 / $46.58 / $46.58	Facility	26	$46.58	$46.58	$46.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $61.00 / $111.40	Professional		$32.72	$61.00	$111.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.82 / $33.97 / $59.94	Professional	26	$12.82	$33.97	$59.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $27.58 / $71.53	Professional	TC	$18.80	$27.58	$71.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $63.39 / $104.48	Professional		$39.29	$63.39	$104.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.00 / $29.23 / $55.60	Professional	26	$21.00	$29.23	$55.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $35.31 / $69.91	Professional	TC	$20.39	$35.31	$69.91