Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $42.26 / $46.54	Facility		$16.89	$42.26	$46.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.80 / $39.89 / $43.93	Facility	26	$17.80	$39.89	$43.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $46.54 / $50.13	Professional		$15.66	$46.54	$50.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $43.93 / $47.37	Professional	26	$15.66	$43.93	$47.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $18.46 / $18.46	Facility		$18.46	$18.46	$18.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $18.72 / $18.72	Professional		$15.91	$18.72	$18.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $17.80 / $18.72	Professional	26	$13.52	$17.80	$18.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $54.94 / $63.85	Facility		$3.59	$54.94	$63.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $49.65 / $63.65	Professional		$3.28	$49.65	$63.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.47 / $56.11	Facility		$2.10	$2.47	$56.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.60 / $52.60 / $52.60	Facility	26	$52.60	$52.60	$52.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $227.65	Professional		$43.45	$43.45	$227.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $40.47 / $212.03	Professional	26	$18.70	$40.47	$212.03
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 $18.05 / $21.86 / $38.47	Professional		$18.05	$21.86	$38.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $21.89 / $38.45	Professional	26	$18.04	$21.89	$38.45