Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.60 / $21.60 / $35.88	Facility	26	$21.60	$21.60	$35.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $122.08 / $154.06	Professional		$99.04	$122.08	$154.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.10 / $22.50 / $30.12	Professional	26	$19.10	$22.50	$30.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $97.00 / $151.87	Professional		$87.22	$97.00	$151.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.52 / $31.90 / $44.02	Professional	26	$25.52	$31.90	$44.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $117.41 / $160.74	Professional		$22.56	$117.41	$160.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $137.74 / $243.32	Professional		$98.33	$137.74	$243.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $30.47 / $50.71	Professional	26	$22.01	$30.47	$50.71
United Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $126.02 / $207.87	Professional		$99.61	$126.02	$207.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.27 / $25.97 / $43.32	Professional	26	$21.27	$25.97	$43.32