Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.83 / $32.83 / $55.42	Facility	26	$32.83	$32.83	$55.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $54.12 / $98.03	Professional		$49.13	$54.12	$98.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.69 / $33.78 / $49.19	Professional	26	$30.69	$33.78	$49.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.20 / $106.50 / $151.22	Professional		$85.20	$106.50	$151.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.07 / $60.20 / $83.33	Professional	26	$48.07	$60.20	$83.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $127.80 / $159.75 / $226.84	Professional	50	$127.80	$159.75	$226.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $39.35 / $64.66	Professional		$20.13	$39.35	$64.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $39.95 / $39.95	Facility	26	$39.95	$39.95	$39.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $117.52 / $206.46	Professional		$58.59	$117.52	$206.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.43 / $56.01 / $104.51	Professional	26	$35.43	$56.01	$104.51
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.33 / $88.33 / $100.97	Professional	50	$88.33	$88.33	$100.97
United Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $90.03 / $151.94	Professional		$55.72	$90.03	$151.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.13 / $46.80 / $69.95	Professional	26	$33.13	$46.80	$69.95