Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $15.85 / $15.85	Facility	26	$14.13	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $75.86	Professional		$42.66	$47.86	$75.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $23.99	Professional	26	$12.88	$15.14	$23.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $52.48	Professional	TC	$28.84	$33.11	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $72.44	Professional		$45.71	$53.70	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.60 / $21.88	Professional	26	$14.13	$16.60	$21.88
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $38.02 / $51.29	Professional	TC	$32.36	$38.02	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $20.42	Professional		$11.75	$16.22	$20.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.39 / $15.85 / $22.39	Facility	26	$3.39	$15.85	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $213.80	Professional		$44.67	$81.28	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.99 / $64.57	Professional	26	$14.13	$23.99	$64.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $56.23 / $141.25	Professional	TC	$30.20	$56.23	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $93.33	Professional		$45.71	$57.54	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $17.78 / $28.84	Professional	26	$14.13	$17.78	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $40.74 / $66.07	Professional	TC	$31.62	$40.74	$66.07