Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.65 / $42.96 / $55.82	Facility	26	$38.65	$42.96	$55.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.37 / $104.87 / $144.11	Professional		$95.37	$104.87	$144.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $139.94 / $314.43	Professional		$115.48	$139.94	$314.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $64.43 / $137.41	Professional		$44.50	$64.43	$137.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $198.89 / $352.83	Professional		$112.93	$198.89	$352.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.41	Professional		$32.34	$32.34	$133.41
United Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $144.71 / $222.40	Professional		$98.01	$144.71	$222.40