Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.56 / $60.45 / $77.88	Facility	26	$58.56	$60.45	$77.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $136.58 / $253.80	Professional		$110.39	$136.58	$253.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $59.74 / $90.87	Professional	26	$57.28	$59.74	$90.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.41 / $56.57 / $150.93	Professional	TC	$52.41	$56.57	$150.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $156.36 / $249.50	Professional		$131.04	$156.36	$249.50
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.03 / $63.48 / $93.06	Professional	26	$50.03	$63.48	$93.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.20 / $97.50 / $166.80	Professional	TC	$69.20	$97.50	$166.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $69.12 / $130.40	Professional		$49.37	$69.12	$130.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.87 / $67.87 / $67.87	Facility	26	$67.87	$67.87	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $191.20 / $326.47	Professional		$114.83	$191.20	$326.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.68 / $78.76 / $129.50	Professional	26	$57.68	$78.76	$129.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.82 / $108.93 / $201.41	Professional	TC	$54.82	$108.93	$201.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $135.62	Professional		$32.34	$32.34	$135.62
United Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $183.01 / $261.50	Professional		$118.38	$183.01	$261.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.32 / $75.38 / $121.87	Professional	26	$55.32	$75.38	$121.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.52 / $102.12 / $139.13	Professional	TC	$56.52	$102.12	$139.13