Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.70 / $74.70 / $99.24	Facility	26	$74.70	$74.70	$99.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.76 / $286.45 / $522.50	Professional		$255.76	$286.45	$522.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $419.95 / $559.01	Professional		$325.39	$419.95	$559.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $117.50 / $332.07	Professional		$78.69	$117.50	$332.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.91 / $606.07 / $1,101.83	Professional		$320.91	$606.07	$1,101.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.25	Professional		$32.34	$32.34	$368.25
United Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $472.05 / $688.28	Professional		$282.20	$472.05	$688.28