Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.43 / $55.43 / $66.16	Facility	26	$55.43	$55.43	$66.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $155.75 / $186.50	Professional		$151.71	$155.75	$186.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.54 / $57.07 / $68.65	Professional	26	$53.54	$57.07	$68.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.29 / $102.06 / $122.42	Professional	TC	$96.29	$102.06	$122.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $302.17 / $407.92	Professional		$137.96	$302.17	$407.92
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.06 / $74.65 / $100.77	Professional	26	$54.06	$74.65	$100.77
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.90 / $223.96 / $307.14	Professional	TC	$83.90	$223.96	$307.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $230.33 / $342.13	Professional		$57.15	$230.33	$342.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.70 / $66.70 / $66.70	Facility	26	$66.70	$66.70	$66.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $331.99 / $584.13	Professional		$259.48	$331.99	$584.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $69.58 / $127.07	Professional	26	$55.58	$69.58	$127.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.63 / $261.61 / $479.10	Professional	TC	$194.63	$261.61	$479.10
United Facility/Professional Professional Modifier Low / Median / High Price $262.81 / $327.87 / $501.85	Professional		$262.81	$327.87	$501.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $63.83 / $102.63	Professional	26	$52.46	$63.83	$102.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $201.79 / $257.51 / $402.30	Professional	TC	$201.79	$257.51	$402.30