Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.86 / $15.86 / $18.68	Facility	26	$15.86	$15.86	$18.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $45.48 / $56.23	Professional		$26.23	$45.48	$56.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $15.86 / $19.22	Professional	26	$13.75	$15.86	$19.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $30.35 / $38.97	Professional	TC	$12.47	$30.35	$38.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $35.65 / $51.47	Professional		$23.45	$35.65	$51.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $18.43 / $29.22	Professional	26	$13.52	$18.43	$29.22
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.94 / $15.36 / $22.67	Professional	TC	$9.94	$15.36	$22.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $30.71 / $50.18	Professional		$14.11	$30.71	$50.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $16.55	Facility	26	$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $44.56 / $76.26	Professional		$31.34	$44.56	$76.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.23 / $19.70 / $31.92	Professional	26	$15.23	$19.70	$31.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.61 / $23.14 / $50.73	Professional	TC	$13.61	$23.14	$50.73
United Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $35.79 / $57.13	Professional		$25.72	$35.79	$57.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.92 / $15.66 / $25.95	Professional	26	$12.92	$15.66	$25.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.79 / $20.20 / $34.53	Professional	TC	$10.79	$20.20	$34.53