Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.90 / $64.34 / $82.80	Facility	26	$57.90	$64.34	$82.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $88.30 / $126.13	Professional		$78.92	$88.30	$126.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.90 / $64.34 / $68.92	Professional	26	$57.90	$64.34	$68.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $111.22 / $179.60	Professional		$83.75	$111.22	$179.60
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.45 / $73.70 / $113.70	Professional	26	$62.45	$73.70	$113.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $47.68 / $125.36	Professional		$27.42	$47.68	$125.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.72 / $76.72 / $76.72	Facility	26	$76.72	$76.72	$76.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $175.95 / $430.69	Professional		$88.17	$175.95	$430.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.04 / $95.33 / $132.84	Professional	26	$63.04	$95.33	$132.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $121.93 / $226.24	Professional		$80.33	$121.93	$226.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.20 / $71.41 / $106.80	Professional	26	$60.20	$71.41	$106.80