Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.71 / $186.32 / $613.71	Professional		$171.71	$186.32	$613.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.82 / $97.56 / $113.42	Professional	26	$92.82	$97.56	$113.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.29 / $85.35 / $98.46	Professional	TC	$78.29	$85.35	$98.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $110.11 / $176.17	Professional		$109.06	$110.11	$176.17
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $51.84 / $115.28	Professional	26	$51.84	$51.84	$115.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.64 / $58.27 / $86.76	Professional	TC	$36.64	$58.27	$86.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $148.99 / $271.70	Professional		$95.37	$148.99	$271.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $222.79 / $479.00	Professional		$114.50	$222.79	$479.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $120.42 / $326.89	Professional	26	$62.26	$120.42	$326.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.80 / $100.98 / $216.00	Professional	TC	$45.80	$100.98	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $240.36 / $408.61	Professional		$144.22	$240.36	$408.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.34 / $133.88 / $238.01	Professional	26	$80.34	$133.88	$238.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.88 / $106.47 / $181.00	Professional	TC	$63.88	$106.47	$181.00