Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.50 / $119.07 / $160.97	Facility	26	$82.50	$119.07	$160.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.29 / $281.98 / $494.18	Professional		$260.29	$281.98	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $90.21 / $193.88	Professional	26	$82.50	$90.21	$193.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.45 / $380.08 / $553.98	Professional		$288.45	$380.08	$553.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.93 / $98.74 / $156.02	Professional	26	$83.93	$98.74	$156.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $127.04 / $359.84	Professional		$90.14	$127.04	$359.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $604.90 / $1,058.86	Professional		$326.62	$604.90	$1,058.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.87 / $132.54 / $218.24	Professional	26	$83.87	$132.54	$218.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.80	Professional		$32.34	$32.34	$377.80
United Facility/Professional Professional Modifier Low / Median / High Price $284.32 / $501.18 / $655.01	Professional		$284.32	$501.18	$655.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.44 / $98.39 / $132.26	Professional	26	$79.44	$98.39	$132.26