Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.03 / $20.03 / $20.03	Facility	26	$20.03	$20.03	$20.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $100.82 / $493.08	Professional		$79.31	$100.82	$493.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $20.21 / $21.45	Professional	26	$19.57	$20.21	$21.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $103.70	Professional		$18.11	$18.11	$103.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.23 / $37.67	Professional	26	$11.23	$11.23	$37.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $54.56 / $180.67	Professional		$28.86	$54.56	$180.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.27 / $39.27 / $39.27	Facility	26	$39.27	$39.27	$39.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $121.90 / $199.78	Professional		$60.55	$121.90	$199.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.34 / $30.84 / $56.38	Professional	26	$12.34	$30.84	$56.38
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 $95.70 / $126.02 / $186.85	Professional		$95.70	$126.02	$186.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $27.87 / $43.24	Professional	26	$19.89	$27.87	$43.24