Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $58.84 / $68.75	Professional		$53.46	$58.84	$68.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $19.85 / $23.19	Professional	26	$18.93	$19.85	$23.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.57 / $39.00 / $45.56	Professional	TC	$31.57	$39.00	$45.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $26.93 / $35.54	Professional		$16.35	$26.93	$35.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.51 / $10.51 / $24.48	Professional	26	$10.51	$10.51	$24.48
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.84 / $16.42 / $21.67	Professional	TC	$5.84	$16.42	$21.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $62.83 / $94.99	Professional		$23.19	$62.83	$94.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $71.16 / $119.74	Professional		$25.15	$71.16	$119.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.91 / $24.20 / $54.97	Professional	26	$11.91	$24.20	$54.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.22 / $33.29 / $80.39	Professional	TC	$12.22	$33.29	$80.39
United Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $64.66 / $118.33	Professional		$38.79	$64.66	$118.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $25.42 / $44.80	Professional	26	$15.81	$25.42	$44.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.39 / $37.83 / $73.61	Professional	TC	$25.39	$37.83	$73.61