Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.37 / $53.37 / $56.32	Facility	26	$53.37	$53.37	$56.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $381.95 / $448.29	Professional		$298.66	$381.95	$448.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.84 / $328.35 / $387.36	Professional	TC	$249.84	$328.35	$387.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $282.35 / $458.30	Professional		$162.40	$282.35	$458.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.09 / $109.24 / $274.45	Professional	TC	$81.09	$109.24	$274.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $350.34 / $468.36	Professional		$54.25	$350.34	$468.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $386.47 / $730.52	Professional		$209.51	$386.47	$730.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.69 / $348.96 / $618.98	Professional	TC	$159.69	$348.96	$618.98
United Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $364.57 / $630.84	Professional		$223.56	$364.57	$630.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $181.61 / $306.61 / $532.89	Professional	TC	$181.61	$306.61	$532.89