Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.11 / $36.11 / $36.11	Facility	26	$36.11	$36.11	$36.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $314.89 / $393.75	Professional		$296.00	$314.89	$393.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $37.49 / $45.72	Professional	26	$35.36	$37.49	$45.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.88 / $279.52 / $351.12	Professional	TC	$259.88	$279.52	$351.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.72 / $216.72 / $364.61	Professional		$216.72	$216.72	$364.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.88 / $20.88 / $44.00	Professional	26	$20.88	$20.88	$44.00
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.84 / $195.84 / $320.32	Professional	TC	$195.84	$195.84	$320.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $99.00 / $534.48	Professional		$52.36	$99.00	$534.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.99 / $53.99 / $53.99	Facility	26	$53.99	$53.99	$53.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $368.66 / $701.42	Professional		$181.09	$368.66	$701.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.37 / $37.35 / $85.93	Professional	26	$22.37	$37.35	$85.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.71 / $315.63 / $629.42	Professional	TC	$158.71	$315.63	$629.42
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 $247.55 / $410.08 / $782.45	Professional		$247.55	$410.08	$782.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.38 / $50.05 / $78.48	Professional	26	$30.38	$50.05	$78.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.03 / $355.35 / $687.92	Professional	TC	$218.03	$355.35	$687.92