Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	26	$18.20	$18.20	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $128.82	Professional		$52.48	$60.26	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $38.90	Professional	26	$15.85	$19.95	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $40.74 / $89.13	Professional	TC	$31.62	$40.74	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $72.44	Professional		$16.22	$16.22	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $38.02	Professional	26	$10.47	$10.47	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.89 / $6.61 / $33.88	Professional	TC	$5.89	$6.61	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $81.28	Professional		$27.54	$32.36	$81.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $389.05	Professional		$33.88	$69.18	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $30.20 / $128.82	Professional	26	$11.75	$30.20	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $31.62 / $275.42	Professional	TC	$19.50	$31.62	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $109.65	Professional		$38.90	$63.10	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.30 / $47.86	Professional	26	$18.62	$26.30	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $38.02 / $64.57	Professional	TC	$23.44	$38.02	$64.57