Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.66 / $76.70 / $94.25	Facility	26	$75.66	$76.70	$94.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $235.54 / $315.55	Professional		$217.47	$235.54	$315.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $211.81 / $312.60	Professional		$167.89	$211.81	$312.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $129.54 / $255.33	Professional		$80.20	$129.54	$255.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	26	$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $306.49 / $465.58	Professional		$200.15	$306.49	$465.58
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 $199.58 / $295.67 / $392.36	Professional		$199.58	$295.67	$392.36