Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.27 / $58.07 / $61.11	Facility	26	$52.27	$58.07	$61.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $203.94 / $384.67	Professional		$172.58	$203.94	$384.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $57.69 / $70.97	Professional	26	$42.60	$57.69	$70.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $159.81 / $266.37	Professional		$135.83	$159.81	$266.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.37 / $53.37 / $84.48	Professional	26	$45.37	$53.37	$84.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $88.46 / $265.56	Professional		$63.39	$88.46	$265.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $253.80 / $421.58	Professional		$160.54	$253.80	$421.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.37 / $75.72 / $111.65	Professional	26	$50.37	$75.72	$111.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $172.53	Professional		$32.34	$32.34	$172.53
United Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $212.72 / $315.27	Professional		$140.13	$212.72	$315.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $61.68 / $92.64	Professional	26	$45.08	$61.68	$92.64