Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.30 / $30.30 / $37.02	Facility	26	$30.30	$30.30	$37.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $158.97 / $186.15	Professional		$46.27	$158.97	$186.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $29.42 / $37.02	Professional	26	$27.12	$29.42	$37.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $46.83 / $60.14	Professional		$41.41	$46.83	$60.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $27.61 / $32.31	Professional	26	$24.86	$27.61	$32.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $142.26 / $215.70	Professional		$33.67	$142.26	$215.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.81 / $35.81 / $35.81	Facility	26	$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $158.02 / $827.88	Professional		$48.16	$158.02	$827.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $148.12	Professional	26	$28.27	$28.27	$148.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.28	Professional		$32.34	$32.34	$168.28
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $84.54 / $152.24	Professional		$65.62	$84.54	$152.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.93 / $32.57 / $46.95	Professional	26	$26.93	$32.57	$46.95