Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.01 / $76.01 / $94.53	Facility	26	$76.01	$76.01	$94.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $149.84 / $174.08	Professional		$130.08	$149.84	$174.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.61 / $77.02 / $93.84	Professional	26	$71.61	$77.02	$93.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $73.81 / $87.01	Professional	TC	$55.03	$73.81	$87.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $153.26 / $242.05	Professional		$117.35	$153.26	$242.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.42 / $114.24 / $181.06	Professional	26	$71.42	$114.24	$181.06
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $41.00 / $69.23	Professional	TC	$32.79	$41.00	$69.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $91.79 / $175.85	Professional		$70.31	$91.79	$175.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $185.20 / $340.20	Professional		$126.02	$185.20	$340.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.48 / $101.59 / $171.85	Professional	26	$83.48	$101.59	$171.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.44 / $73.84 / $164.31	Professional	TC	$31.44	$73.84	$164.31
United Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $168.81 / $288.81	Professional		$124.52	$168.81	$288.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.69 / $86.87 / $162.19	Professional	26	$70.69	$86.87	$162.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.21 / $81.95 / $140.50	Professional	TC	$37.21	$81.95	$140.50