Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.23 / $19.23 / $19.23	Facility	26	$19.23	$19.23	$19.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $56.10 / $140.41	Professional		$47.46	$56.10	$140.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $20.59 / $39.50	Professional	26	$18.82	$20.59	$39.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.60 / $34.82 / $100.89	Professional	TC	$26.60	$34.82	$100.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $22.64 / $71.90	Professional		$15.74	$22.64	$71.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.94 / $10.94 / $35.49	Professional	26	$10.94	$10.94	$35.49
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.08 / $5.40 / $33.29	Professional	TC	$4.08	$5.40	$33.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $48.55 / $102.20	Professional		$27.70	$48.55	$102.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $28.39 / $28.39	Facility	26	$28.39	$28.39	$28.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $57.18 / $115.62	Professional		$33.64	$57.18	$115.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $30.33 / $53.46	Professional	26	$11.85	$30.33	$53.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $26.78 / $74.25	Professional	TC	$21.06	$26.78	$74.25
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 $40.56 / $68.00 / $110.40	Professional		$40.56	$68.00	$110.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $26.41 / $41.51	Professional	26	$18.78	$26.41	$41.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $32.14 / $63.66	Professional	TC	$20.72	$32.14	$63.66