Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $37.15 / $37.15	Facility	26	$33.11	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $177.83	Professional		$57.54	$75.86	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $154.88 / $257.04	Professional		$144.54	$154.88	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $229.09 / $380.19	Professional	50	$218.78	$229.09	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $39.81	Professional		$25.12	$33.88	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $724.44	Professional		$83.18	$204.17	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $204.17	Professional		$77.62	$144.54	$204.17