Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.46 / $25.46 / $27.18	Facility	26	$25.46	$25.46	$27.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $153.52 / $185.25	Professional		$123.40	$153.52	$185.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.22 / $127.06 / $153.65	Professional	TC	$99.22	$127.06	$153.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $103.60 / $155.40	Professional		$82.88	$103.60	$155.40
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.75 / $54.21 / $107.77	Professional	TC	$42.75	$54.21	$107.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $147.34 / $199.05	Professional		$26.19	$147.34	$199.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $161.97 / $301.57	Professional		$74.89	$161.97	$301.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.86 / $140.19 / $244.54	Professional	TC	$39.86	$140.19	$244.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $134.50 / $217.17	Professional		$91.56	$134.50	$217.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.92 / $107.33 / $170.61	Professional	TC	$68.92	$107.33	$170.61