Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.17 / $14.86 / $32.08	Facility	26	$14.17	$14.86	$32.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $48.37 / $68.14	Professional		$44.89	$48.37	$68.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.12 / $15.15 / $19.30	Professional	26	$14.12	$15.15	$19.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $33.15 / $48.84	Professional	TC	$30.03	$33.15	$48.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $54.30 / $74.92	Professional		$44.09	$54.30	$74.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $16.55 / $23.57	Professional	26	$13.82	$16.55	$23.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.06 / $37.74 / $52.76	Professional	TC	$30.06	$37.74	$52.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.16 / $47.12	Professional		$12.59	$18.16	$47.12
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 $41.87 / $71.03 / $106.47	Professional		$41.87	$71.03	$106.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $21.76 / $32.28	Professional	26	$13.61	$21.76	$32.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.94 / $49.17 / $74.54	Professional	TC	$28.94	$49.17	$74.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.00	Professional		$32.34	$32.34	$51.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $58.19 / $95.31	Professional		$45.52	$58.19	$95.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $17.18 / $28.71	Professional	26	$13.97	$17.18	$28.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.82 / $40.33 / $65.38	Professional	TC	$31.82	$40.33	$65.38