Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.03 / $44.03 / $49.87	Facility	26	$44.03	$44.03	$49.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $341.84 / $492.50	Professional		$292.89	$341.84	$492.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $146.44 / $170.92 / $209.19	Professional	52	$146.44	$170.92	$209.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $296.95 / $428.38	Professional	TC	$252.77	$296.95	$428.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.89 / $261.05 / $440.87	Professional		$221.89	$261.05	$440.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $186.57 / $219.50 / $372.84	Professional	TC	$186.57	$219.50	$372.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $320.38 / $451.74	Professional		$45.32	$320.38	$451.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.88 / $50.88 / $50.88	Facility	26	$50.88	$50.88	$50.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $419.85 / $606.36	Professional		$310.24	$419.85	$606.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.37 / $360.49 / $517.45	Professional	TC	$263.37	$360.49	$517.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.97 / $235.95	Professional		$32.34	$37.97	$235.95
United Facility/Professional Professional Modifier Low / Median / High Price $273.66 / $388.88 / $648.88	Professional		$273.66	$388.88	$648.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $234.20 / $312.85 / $557.33	Professional	TC	$234.20	$312.85	$557.33