Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.54 / $15.54 / $27.51	Facility	26	$15.54	$15.54	$27.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $52.27 / $61.72	Professional		$45.13	$52.27	$61.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.54 / $15.54 / $18.84	Professional	26	$14.54	$15.54	$18.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.07 / $36.54 / $44.32	Professional	TC	$30.07	$36.54	$44.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $68.90 / $109.21	Professional		$46.16	$68.90	$109.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $20.62 / $32.68	Professional	26	$14.08	$20.62	$32.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.08 / $48.28 / $76.53	Professional	TC	$32.08	$48.28	$76.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $28.30 / $46.85	Professional		$13.51	$28.30	$46.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $70.95 / $112.38	Professional		$47.38	$70.95	$112.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.90 / $20.87 / $32.29	Professional	26	$14.90	$20.87	$32.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $48.27 / $74.23	Professional	TC	$31.76	$48.27	$74.23
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $55.89 / $89.91	Professional		$43.26	$55.89	$89.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $16.85 / $26.38	Professional	26	$12.88	$16.85	$26.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $37.72 / $58.45	Professional	TC	$29.89	$37.72	$58.45