Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $56.23 / $100.00	Facility	26	$52.48	$56.23	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $275.42	Professional		$104.71	$123.03	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $263.03	Professional		$128.82	$138.04	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $79.43	Professional		$47.86	$66.07	$79.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $794.33	Professional		$131.83	$245.47	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $208.93	Professional		$102.33	$141.25	$208.93