Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $14.79 / $14.79	Facility	26	$12.02	$14.79	$14.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $134.90	Professional		$64.57	$93.33	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $21.88	Professional	26	$12.02	$14.13	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $125.89	Professional		$64.57	$69.18	$125.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.98 / $30.20	Professional	26	$16.22	$16.98	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $22.39	Professional		$13.80	$19.05	$22.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $478.63	Professional		$69.18	$104.71	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $26.30 / $75.86	Professional	26	$14.13	$26.30	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $125.89	Professional		$61.66	$79.43	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $16.60 / $24.55	Professional	26	$13.18	$16.60	$24.55