Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.76 / $36.32 / $39.72	Facility	26	$24.76	$36.32	$39.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $121.05 / $157.62	Professional		$101.65	$121.05	$157.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.74 / $25.81 / $46.76	Professional	26	$23.74	$25.81	$46.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.04 / $97.12 / $117.89	Professional	TC	$69.04	$97.12	$117.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $92.12 / $205.41	Professional		$71.73	$92.12	$205.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.10 / $29.54 / $42.36	Professional	26	$25.10	$29.54	$42.36
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.62 / $59.65 / $163.06	Professional	TC	$46.62	$59.65	$163.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $52.83 / $203.24	Professional		$35.85	$52.83	$203.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.43 / $39.43 / $39.43	Facility	26	$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $215.32 / $376.83	Professional		$144.01	$215.32	$376.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.43 / $39.18 / $64.54	Professional	26	$25.43	$39.18	$64.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.86 / $176.05 / $318.93	Professional	TC	$120.86	$176.05	$318.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.08	Professional		$32.34	$32.34	$110.08
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $208.88 / $302.27	Professional		$146.84	$208.88	$302.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $36.82 / $52.98	Professional	26	$25.87	$36.82	$52.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.25 / $172.54 / $253.54	Professional	TC	$124.25	$172.54	$253.54