Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.33 / $42.33 / $44.98	Facility	26	$42.33	$42.33	$44.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.43 / $335.09 / $391.99	Professional		$292.43	$335.09	$391.99
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $141.10 / $167.67 / $196.00	Professional	52	$141.10	$167.67	$196.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.25 / $292.61 / $343.73	Professional	TC	$251.25	$292.61	$343.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $332.35 / $432.58	Professional		$221.89	$332.35	$432.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.57 / $257.98 / $366.33	Professional	TC	$186.57	$257.98	$366.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $334.17 / $439.35	Professional		$43.85	$334.17	$439.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $402.12 / $673.30	Professional		$318.39	$402.12	$673.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $269.49 / $340.53 / $579.05	Professional	TC	$269.49	$340.53	$579.05
United Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $355.91 / $567.65	Professional		$279.45	$355.91	$567.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $247.14 / $306.39 / $485.84	Professional	TC	$247.14	$306.39	$485.84