Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.39 / $45.39 / $62.58	Facility	26	$45.39	$45.39	$62.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $94.10 / $140.94	Professional		$81.05	$94.10	$140.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.89 / $47.83 / $74.23	Professional	TC	$39.89	$47.83	$74.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $84.01 / $127.85	Professional		$64.81	$84.01	$127.85
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.80 / $38.08 / $60.55	Professional	TC	$16.80	$38.08	$60.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $52.46 / $103.16	Professional		$41.22	$52.46	$103.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.06 / $52.06 / $52.06	Facility	26	$52.06	$52.06	$52.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $115.76 / $192.88	Professional		$76.33	$115.76	$192.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $50.92 / $101.22	Professional	TC	$21.45	$50.92	$101.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $32.34 / $77.90	Professional		$28.98	$32.34	$77.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $100.69 / $190.82	Professional		$72.00	$100.69	$190.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.22 / $47.42 / $91.90	Professional	TC	$24.22	$47.42	$91.90