Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.03 / $19.03 / $19.03	Facility	26	$19.03	$19.03	$19.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $51.53 / $54.37	Professional		$49.65	$51.53	$54.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.12 / $19.07 / $20.39	Professional	26	$18.12	$19.07	$20.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.62 / $31.78 / $35.22	Professional	TC	$30.62	$31.78	$35.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $54.61 / $57.34	Professional		$32.49	$54.61	$57.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.10 / $20.36 / $21.36	Professional	26	$12.10	$20.36	$21.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $34.27 / $35.97	Professional	TC	$20.59	$34.27	$35.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $54.19 / $89.63	Professional		$27.85	$54.19	$89.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.72 / $54.72 / $54.72	Facility	26	$54.72	$54.72	$54.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $54.60 / $106.05	Professional		$28.60	$54.60	$106.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.74 / $20.34 / $39.86	Professional	26	$10.74	$20.34	$39.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.27 / $35.11 / $66.19	Professional	TC	$18.27	$35.11	$66.19
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 $43.55 / $70.28 / $135.10	Professional		$43.55	$70.28	$135.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.68 / $26.91 / $41.69	Professional	26	$16.68	$26.91	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.23 / $41.32 / $70.92	Professional	TC	$27.23	$41.32	$70.92