Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.62 / $86.62 / $124.86	Facility	26	$86.62	$86.62	$124.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $232.35 / $269.10	Professional		$172.02	$232.35	$269.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.84 / $192.26 / $312.72	Professional		$174.84	$192.26	$312.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $149.22 / $320.81	Professional		$103.05	$149.22	$320.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.41 / $113.41 / $113.41	Facility	26	$113.41	$113.41	$113.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $265.13 / $448.71	Professional		$184.84	$265.13	$448.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $252.07	Professional		$32.34	$32.34	$252.07
United Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $229.80 / $344.70	Professional		$183.75	$229.80	$344.70