Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $27.53 / $46.95	Facility	26	$27.53	$27.53	$46.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $119.29 / $144.86	Professional		$102.71	$119.29	$144.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.43 / $27.53 / $35.88	Professional	26	$23.43	$27.53	$35.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $123.40 / $186.70	Professional		$104.18	$123.40	$186.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.08 / $35.10 / $49.84	Professional	26	$28.08	$35.10	$49.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.27 / $185.10 / $280.05	Professional	50	$156.27	$185.10	$280.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $82.65 / $130.72	Professional		$29.52	$82.65	$130.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $154.00 / $251.82	Professional		$102.41	$154.00	$251.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.13 / $36.03 / $58.46	Professional	26	$26.13	$36.03	$58.46
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.71 / $164.71 / $187.81	Professional	50	$164.71	$164.71	$187.81
United Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $138.00 / $233.34	Professional		$108.87	$138.00	$233.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.15 / $29.59 / $52.82	Professional	26	$26.15	$29.59	$52.82