Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.72 / $39.70 / $52.22	Facility	26	$35.72	$39.70	$52.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $99.82 / $137.44	Professional		$89.78	$99.82	$137.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $39.70 / $52.22	Professional	26	$35.72	$39.70	$52.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $98.20 / $180.40	Professional		$82.46	$98.20	$180.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.79 / $45.64 / $72.81	Professional	26	$38.79	$45.64	$72.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $62.14 / $134.06	Professional		$44.67	$62.14	$134.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $146.04 / $215.75	Professional		$97.82	$146.04	$215.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.79 / $59.78 / $93.30	Professional	26	$39.79	$59.78	$93.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.82	Professional		$32.34	$32.34	$96.82
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $108.49 / $159.72	Professional		$90.40	$108.49	$159.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.25 / $45.65 / $65.51	Professional	26	$36.25	$45.65	$65.51