Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.58 / $65.58 / $65.58	Facility	26	$65.58	$65.58	$65.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $92.04 / $137.69	Professional		$85.21	$92.04	$137.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.40 / $68.06 / $81.28	Professional	26	$63.40	$68.06	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.63 / $21.66 / $60.81	Professional	TC	$19.63	$21.66	$60.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $54.87 / $172.50	Professional		$46.58	$54.87	$172.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.58 / $36.58 / $107.22	Professional	26	$36.58	$36.58	$107.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.76 / $10.97 / $65.29	Professional	TC	$8.76	$10.97	$65.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $51.08 / $151.76	Professional		$30.39	$51.08	$151.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $133.12 / $133.12 / $133.12	Facility	26	$133.12	$133.12	$133.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $117.19 / $226.80	Professional		$54.16	$117.19	$226.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.81 / $85.87 / $152.72	Professional	26	$40.81	$85.87	$152.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.00 / $33.22 / $84.53	Professional	TC	$13.00	$33.22	$84.53
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 $72.92 / $117.65 / $186.09	Professional		$72.92	$117.65	$186.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.66 / $88.93 / $170.43	Professional	26	$65.66	$88.93	$170.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.32 / $37.38 / $53.40	Professional	TC	$23.32	$37.38	$53.40