Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.54 / $43.54 / $45.58	Facility	26	$43.54	$43.54	$45.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $94.80 / $104.58	Professional		$81.05	$94.80	$104.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.15 / $49.61 / $55.04	Professional	TC	$41.15	$49.61	$55.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $84.94 / $126.68	Professional		$71.40	$84.94	$126.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $22.63 / $44.80	Professional	TC	$16.80	$22.63	$44.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $50.80 / $101.13	Professional		$41.03	$50.80	$101.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $106.52 / $192.15	Professional		$71.84	$106.52	$192.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $49.86 / $101.39	Professional	TC	$16.07	$49.86	$101.39
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $100.46 / $163.09	Professional		$79.90	$100.46	$163.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.53 / $48.41 / $79.20	Professional	TC	$30.53	$48.41	$79.20