Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $54.37 / $63.96	Professional		$49.65	$54.37	$63.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $19.91 / $26.74	Professional	26	$18.98	$19.91	$26.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.62 / $33.97 / $40.17	Professional	TC	$30.62	$33.97	$40.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $28.33 / $54.61	Professional		$28.33	$28.33	$54.61
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $10.27 / $20.34	Professional	26	$10.27	$10.27	$20.34
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $18.05 / $34.27	Professional	TC	$18.05	$18.05	$34.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $43.84 / $75.09	Professional		$23.23	$43.84	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $56.65 / $103.00	Professional		$27.22	$56.65	$103.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.19 / $20.34 / $40.00	Professional	26	$10.19	$20.34	$40.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.43 / $36.11 / $58.21	Professional	TC	$17.43	$36.11	$58.21
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $70.02 / $127.22	Professional		$45.04	$70.02	$127.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.67 / $27.00 / $47.24	Professional	26	$16.67	$27.00	$47.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $43.02 / $78.73	Professional	TC	$28.37	$43.02	$78.73