Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $309.03	Professional		$85.11	$120.23	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $46.77	Professional	26	$18.20	$20.89	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $104.71	Professional		$18.20	$18.20	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $41.69	Professional	26	$11.22	$11.22	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $128.82	Professional		$28.84	$33.88	$128.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.31 / $29.51 / $42.66	Facility	26	$6.31	$29.51	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $630.96	Professional		$52.48	$144.54	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $32.36 / $134.90	Professional	26	$12.30	$32.36	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $199.53	Professional		$95.50	$128.82	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $28.18 / $53.70	Professional	26	$19.95	$28.18	$53.70