Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.64 / $21.64 / $35.36	Facility	26	$21.64	$21.64	$35.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $84.43 / $186.91	Professional		$63.95	$84.43	$186.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.09 / $24.69 / $44.07	Professional	26	$21.09	$24.69	$44.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $62.62 / $142.84	Professional	TC	$39.25	$62.62	$142.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $29.58 / $68.75	Professional		$29.52	$29.58	$68.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $12.10 / $28.83	Professional	26	$12.10	$12.10	$28.83
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $17.48 / $39.92	Professional	TC	$17.48	$17.48	$39.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $87.60 / $134.78	Professional		$30.36	$87.60	$134.78
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 $34.29 / $65.61 / $162.54	Professional		$34.29	$65.61	$162.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.31 / $26.95 / $50.70	Professional	26	$13.31	$26.95	$50.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.30 / $42.85 / $111.08	Professional	TC	$20.30	$42.85	$111.08
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 $52.51 / $87.52 / $141.29	Professional		$52.51	$87.52	$141.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $29.16 / $46.71	Professional	26	$22.06	$29.16	$46.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.77 / $55.81 / $89.42	Professional	TC	$34.77	$55.81	$89.42