Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.24 / $29.16 / $33.63	Facility	26	$26.24	$29.16	$33.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $117.06 / $147.10	Professional		$102.71	$117.06	$147.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $29.16 / $37.08	Professional	26	$25.03	$29.16	$37.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $117.77 / $190.98	Professional		$100.10	$117.77	$190.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.19 / $29.63 / $44.69	Professional	26	$25.19	$29.63	$44.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $150.15 / $176.65 / $286.47	Professional	50	$150.15	$176.65	$286.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $45.17 / $141.04	Professional		$32.46	$45.17	$141.04
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 $110.62 / $155.22 / $257.93	Professional		$110.62	$155.22	$257.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.53 / $40.18 / $61.79	Professional	26	$27.53	$40.18	$61.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $98.49	Professional		$32.34	$32.34	$98.49
United Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $133.15 / $228.42	Professional		$110.62	$133.15	$228.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.56 / $29.59 / $43.47	Professional	26	$24.56	$29.59	$43.47