Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.93 / $17.93 / $17.93	Facility	26	$17.93	$17.93	$17.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $147.90 / $156.83	Professional		$92.16	$147.90	$156.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.79 / $17.93 / $19.11	Professional	26	$17.79	$17.93	$19.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.50 / $129.29 / $137.72	Professional	TC	$109.50	$129.29	$137.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $222.65	Professional		$64.54	$64.54	$222.65
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $20.29 / $67.29	Professional	26	$20.29	$20.29	$67.29
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $72.11 / $161.25 / $166.08	Professional	TC	$72.11	$161.25	$166.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $167.55 / $234.57	Professional		$25.48	$167.55	$234.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.94 / $90.94 / $90.94	Facility	26	$90.94	$90.94	$90.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $178.56 / $282.36	Professional		$83.76	$178.56	$282.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $29.49 / $95.51	Professional	26	$10.86	$29.49	$95.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $126.75 / $231.63	Professional	TC	$67.56	$126.75	$231.63
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 $120.65 / $186.73 / $280.97	Professional		$120.65	$186.73	$280.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.23 / $31.18 / $56.92	Professional	26	$22.23	$31.18	$56.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $85.40 / $143.79 / $235.49	Professional	TC	$85.40	$143.79	$235.49