Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.83 / $28.70 / $38.51	Facility	26	$25.83	$28.70	$38.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $190.09 / $201.83	Professional		$159.55	$190.09	$201.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.83 / $28.04 / $31.22	Professional	26	$25.83	$28.04	$31.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $147.90 / $231.10	Professional		$125.71	$147.90	$231.10
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.57 / $33.51 / $41.98	Professional	26	$28.57	$33.51	$41.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $44.85 / $263.06	Professional		$31.15	$44.85	$263.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $33.22 / $33.22	Facility	26	$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $239.07 / $947.95	Professional		$145.85	$239.07	$947.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.18 / $50.89 / $143.22	Professional	26	$30.18	$50.89	$143.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.51	Professional		$32.34	$32.34	$192.51
United Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $216.40 / $314.45	Professional		$117.67	$216.40	$314.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.24 / $34.52 / $45.78	Professional	26	$27.24	$34.52	$45.78