Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $389.05	Professional		$173.78	$245.47	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $79.43	Professional	26	$30.90	$38.90	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $208.93 / $354.81	Professional	TC	$147.91	$208.93	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Professional		$141.25	$141.25	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $43.65	Professional	26	$18.62	$18.62	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $138.04 / $144.54	Professional	TC	$138.04	$138.04	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $257.04 / $309.03	Professional		$45.71	$257.04	$309.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $1,288.25	Professional		$95.50	$181.97	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $45.71 / $190.55	Professional	26	$19.05	$45.71	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $194.98 / $1,096.48	Professional	TC	$102.33	$194.98	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $524.81	Professional		$190.55	$302.00	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $45.71 / $87.10	Professional	26	$34.67	$45.71	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $257.04 / $457.09	Professional	TC	$144.54	$257.04	$457.09