Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $32.90 / $32.90	Facility	26	$32.90	$32.90	$32.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $90.18 / $132.77	Professional		$85.49	$90.18	$132.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.85 / $34.15 / $82.12	Professional	26	$32.85	$34.15	$82.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.58 / $57.72 / $85.57	Professional	TC	$52.58	$57.72	$85.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $61.79 / $197.80	Professional		$60.59	$61.79	$197.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.33 / $22.33 / $77.80	Professional	26	$22.33	$22.33	$77.80
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.46 / $39.46 / $120.10	Professional	TC	$39.46	$39.46	$120.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $81.89 / $143.13	Professional		$45.46	$81.89	$143.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.15 / $97.15 / $97.15	Facility	26	$97.15	$97.15	$97.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $143.81 / $257.39	Professional		$52.69	$143.81	$257.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $58.62 / $104.06	Professional	26	$19.87	$58.62	$104.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.82 / $83.69 / $154.80	Professional	TC	$32.82	$83.69	$154.80
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 $107.22 / $139.47 / $195.24	Professional		$107.22	$139.47	$195.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.63 / $51.22 / $75.08	Professional	26	$28.63	$51.22	$75.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $70.40 / $84.52 / $142.97	Professional	TC	$70.40	$84.52	$142.97