Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.55 / $464.40 / $631.33	Professional		$420.55	$464.40	$631.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $45.51 / $53.11	Professional	26	$40.70	$45.51	$53.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $376.97 / $407.84 / $473.27	Professional	TC	$376.97	$407.84	$473.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $259.92 / $354.19	Professional		$259.92	$259.92	$354.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $24.34 / $40.50	Professional	26	$24.34	$24.34	$40.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.58 / $235.58 / $313.70	Professional	TC	$235.58	$235.58	$313.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $449.31 / $673.97	Professional		$53.15	$449.31	$673.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.48 / $468.24 / $752.24	Professional		$302.48	$468.24	$752.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.90 / $45.99 / $87.25	Professional	26	$28.90	$45.99	$87.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.10 / $416.53 / $675.93	Professional	TC	$242.10	$416.53	$675.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $539.50 / $987.29	Professional		$323.70	$539.50	$987.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.03 / $58.39 / $102.46	Professional	26	$35.03	$58.39	$102.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $317.44 / $487.82 / $880.43	Professional	TC	$317.44	$487.82	$880.43