Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $95.50 / $177.83	Facility	26	$95.50	$95.50	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $630.96	Professional		$288.40	$363.08	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $398.11	Professional		$288.40	$288.40	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $147.91	Professional		$91.20	$125.89	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,584.89	Professional		$346.74	$602.56	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $933.25	Professional		$354.81	$660.69	$933.25