Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.82 / $43.84 / $71.79	Facility	26	$26.82	$43.84	$71.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $108.38 / $244.64	Professional		$89.40	$108.38	$244.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.82 / $35.13 / $54.55	Professional	26	$26.82	$35.13	$54.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.27 / $81.56 / $190.10	Professional	TC	$54.27	$81.56	$190.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $41.39 / $121.78	Professional		$25.85	$41.39	$121.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $16.48 / $60.75	Professional	26	$16.48	$16.48	$60.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $8.11 / $9.65 / $43.00	Professional	TC	$8.11	$9.65	$43.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $107.62 / $176.13	Professional		$37.33	$107.62	$176.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.39 / $63.39 / $63.39	Facility	26	$63.39	$63.39	$63.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $102.80 / $199.41	Professional		$63.83	$102.80	$199.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.47 / $45.78 / $81.65	Professional	26	$16.47	$45.78	$81.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $53.35 / $147.88	Professional	TC	$40.54	$53.35	$147.88
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 $71.68 / $115.62 / $192.72	Professional		$71.68	$115.62	$192.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.41 / $40.22 / $71.58	Professional	26	$22.41	$40.22	$71.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.82 / $76.98 / $157.35	Professional	TC	$39.82	$76.98	$157.35