Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.95 / $14.39 / $19.50	Facility	26	$12.95	$14.39	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $90.12 / $95.11	Professional		$79.28	$90.12	$95.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $14.39 / $19.50	Professional	26	$12.95	$14.39	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $68.95 / $122.28	Professional		$58.61	$68.95	$122.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.31 / $16.84 / $27.30	Professional	26	$14.31	$16.84	$27.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $22.50 / $133.69	Professional		$16.04	$22.50	$133.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $102.37 / $189.08	Professional		$69.09	$102.37	$189.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.56 / $21.97 / $34.63	Professional	26	$14.56	$21.97	$34.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.06	Professional		$32.34	$32.34	$51.06
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.12 / $132.41	Professional		$60.83	$82.12	$132.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.21 / $16.35 / $22.74	Professional	26	$13.21	$16.35	$22.74