Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.79 / $33.22 / $45.60	Facility	26	$21.79	$33.22	$45.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $97.41 / $348.87	Professional		$84.89	$97.41	$348.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $146.57 / $668.74	Professional		$111.74	$146.57	$668.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $37.54 / $136.78	Professional		$25.48	$37.54	$136.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $252.69 / $723.15	Professional		$106.19	$252.69	$723.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.96	Professional		$32.34	$32.34	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $164.21 / $462.12	Professional		$100.97	$164.21	$462.12