Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.14 / $32.14 / $32.14	Facility	26	$32.14	$32.14	$32.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.03 / $214.43 / $248.73	Professional		$182.03	$214.43	$248.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $33.36 / $45.27	Professional	26	$31.83	$33.36	$45.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $143.21 / $182.29 / $230.75	Professional	TC	$143.21	$182.29	$230.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $140.54 / $191.67	Professional		$140.54	$140.54	$191.67
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $18.43 / $45.56	Professional	26	$18.43	$18.43	$45.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $122.11 / $139.52 / $145.97	Professional	TC	$122.11	$139.52	$145.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $270.83 / $444.29	Professional		$46.02	$270.83	$444.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.33 / $47.33 / $47.33	Facility	26	$47.33	$47.33	$47.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $218.05 / $456.27	Professional		$96.29	$218.05	$456.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.19 / $39.44 / $80.31	Professional	26	$19.19	$39.44	$80.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.18 / $165.85 / $375.45	Professional	TC	$74.18	$165.85	$375.45
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 $190.28 / $279.39 / $494.35	Professional		$190.28	$279.39	$494.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.64 / $46.00 / $71.42	Professional	26	$27.64	$46.00	$71.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.15 / $264.00 / $453.10	Professional	TC	$141.15	$264.00	$453.10