Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.28 / $68.28 / $134.52	Facility	26	$68.28	$68.28	$134.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.89 / $423.05 / $600.29	Professional		$386.89	$423.05	$600.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.28 / $73.51 / $154.00	Professional	26	$68.28	$73.51	$154.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $410.84 / $567.83	Professional		$338.63	$410.84	$567.83
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.55 / $82.69 / $110.60	Professional	26	$73.55	$82.69	$110.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $131.19 / $588.41	Professional		$75.44	$131.19	$588.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.68 / $80.68 / $80.68	Facility	26	$80.68	$80.68	$80.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.74 / $565.74 / $845.64	Professional		$378.74	$565.74	$845.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.23 / $98.02 / $148.04	Professional	26	$67.23	$98.02	$148.04
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 $378.22 / $452.27 / $622.37	Professional		$378.22	$452.27	$622.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.01 / $80.58 / $107.42	Professional	26	$62.01	$80.58	$107.42