Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.41 / $91.41 / $112.50	Facility	26	$91.41	$91.41	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $416.60 / $566.55	Professional		$216.91	$416.60	$566.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $216.63 / $432.08	Professional		$162.47	$216.63	$432.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $123.61 / $513.52	Professional		$94.16	$123.61	$513.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.54 / $104.54 / $104.54	Facility	26	$104.54	$104.54	$104.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $360.88 / $643.08	Professional		$213.33	$360.88	$643.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $32.34 / $78.47	Professional		$11.43	$32.34	$78.47
United Facility/Professional Professional Modifier Low / Median / High Price $235.97 / $360.42 / $687.88	Professional		$235.97	$360.42	$687.88