Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.46 / $26.46 / $36.89	Facility	26	$26.46	$26.46	$36.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $156.50 / $251.08	Professional		$123.40	$156.50	$251.08
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.22 / $129.53 / $202.77	Professional	TC	$99.22	$129.53	$202.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $119.72 / $196.07	Professional		$81.56	$119.72	$196.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.75 / $91.61 / $156.96	Professional	TC	$42.75	$91.61	$156.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $38.29 / $234.51	Professional		$26.97	$38.29	$234.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $160.88 / $290.63	Professional		$85.84	$160.88	$290.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.26 / $126.34 / $238.87	Professional	TC	$52.26	$126.34	$238.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $32.34 / $61.63	Professional		$25.04	$32.34	$61.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $135.34 / $250.97	Professional		$86.76	$135.34	$250.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.26 / $107.27 / $197.10	Professional	TC	$52.26	$107.27	$197.10