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 / $98.83	Facility	26	$74.70	$74.70	$98.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.14 / $333.84 / $634.94	Professional		$250.14	$333.84	$634.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $422.80 / $563.45	Professional		$317.36	$422.80	$563.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $113.94 / $346.79	Professional		$81.70	$113.94	$346.79
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 $314.77 / $634.48 / $1,066.00	Professional		$314.77	$634.48	$1,066.00
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 $277.80 / $487.53 / $688.28	Professional		$277.80	$487.53	$688.28