Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $45.71	Professional		$21.88	$25.12	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $26.92	Professional	26	$18.20	$19.95	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $51.29	Professional		$23.44	$31.62	$51.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.38 / $33.11	Professional	26	$17.38	$21.38	$33.11
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $9.77 / $23.44	Professional	TC	$4.07	$9.77	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.13 / $8.32	Professional		$4.07	$5.13	$8.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $23.44 / $33.88	Facility	26	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $53.70 / $316.23	Professional		$23.44	$53.70	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $28.18 / $104.71	Professional	26	$17.78	$28.18	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $29.51 / $125.89	Professional	TC	$3.31	$29.51	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $32.36 / $33.11	Professional		$6.46	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $44.67 / $67.61	Professional		$19.95	$44.67	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $20.89 / $38.90	Professional	26	$16.22	$20.89	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.24 / $7.94 / $42.66	Professional	TC	$3.24	$7.94	$42.66