Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $89.51 / $101.62	Professional		$81.70	$89.51	$101.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.05 / $26.24 / $71.55	Professional	26	$25.05	$26.24	$71.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.56 / $62.63 / $71.03	Professional	TC	$56.56	$62.63	$71.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $105.66 / $140.12	Professional		$105.65	$105.66	$140.12
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $24.10 / $46.74	Professional	26	$24.10	$24.10	$46.74
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.56 / $81.56 / $107.65	Professional	TC	$81.56	$81.56	$107.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $72.04 / $123.68	Professional		$30.33	$72.04	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $117.22 / $329.14	Professional		$84.26	$117.22	$329.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $34.47 / $77.33	Professional	26	$17.48	$34.47	$77.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.54 / $78.86 / $210.28	Professional	TC	$38.54	$78.86	$210.28
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $131.38 / $256.45	Professional		$69.08	$131.38	$256.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $39.29 / $92.88	Professional	26	$21.44	$39.29	$92.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $91.93 / $182.00	Professional	TC	$47.64	$91.93	$182.00