Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.86 / $39.86 / $39.86	Facility	26	$39.86	$39.86	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $93.32 / $97.43	Professional		$89.41	$93.32	$97.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.61 / $39.86 / $42.70	Professional	26	$39.61	$39.86	$42.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $114.33 / $213.70	Professional		$72.98	$114.33	$213.70
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $72.55 / $103.92	Professional	26	$41.91	$72.55	$103.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $79.48 / $156.55	Professional		$57.42	$79.48	$156.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.86 / $58.86 / $58.86	Facility	26	$58.86	$58.86	$58.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $113.61 / $321.17	Professional		$57.76	$113.61	$321.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $42.26 / $138.93	Professional	26	$24.47	$42.26	$138.93
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 $102.84 / $142.63 / $248.69	Professional		$102.84	$142.63	$248.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $63.52 / $110.11	Professional	26	$38.00	$63.52	$110.11