Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.50 / $65.53 / $121.64	Facility	26	$59.50	$65.53	$121.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $126.25 / $216.24	Professional		$113.28	$126.25	$216.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $136.72 / $198.03	Professional		$116.16	$136.72	$198.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $77.62 / $155.72	Professional		$60.83	$77.62	$155.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $177.85 / $299.06	Professional		$114.53	$177.85	$299.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.83	Professional		$32.34	$32.34	$88.83
United Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $139.47 / $192.72	Professional		$105.24	$139.47	$192.72