Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $57.58 / $67.29	Professional		$50.78	$57.58	$67.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.17 / $20.10 / $62.84	Professional	26	$19.17	$20.10	$62.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.82 / $38.39 / $43.80	Professional	TC	$34.82	$38.39	$43.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $23.65 / $31.21	Professional		$15.74	$23.65	$31.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.76 / $10.76 / $20.07	Professional	26	$10.76	$10.76	$20.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.80 / $12.89 / $18.72	Professional	TC	$4.80	$12.89	$18.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $61.77 / $94.25	Professional		$23.49	$61.77	$94.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $63.10 / $117.38	Professional		$23.80	$63.10	$117.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.83 / $24.51 / $55.78	Professional	26	$11.83	$24.51	$55.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.28 / $33.04 / $79.05	Professional	TC	$11.28	$33.04	$79.05
United Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $66.25 / $123.12	Professional		$43.52	$66.25	$123.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $26.49 / $46.02	Professional	26	$16.23	$26.49	$46.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.27 / $39.72 / $75.39	Professional	TC	$24.27	$39.72	$75.39