Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.20 / $96.89 / $118.83	Facility	26	$87.20	$96.89	$118.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $329.50 / $572.90	Professional		$288.75	$329.50	$572.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.91 / $289.91 / $407.15	Professional		$289.91	$289.91	$407.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $153.50 / $442.58	Professional		$102.80	$153.50	$442.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.86 / $529.45 / $824.29	Professional		$319.86	$529.45	$824.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $310.28	Professional		$32.34	$32.34	$310.28
United Facility/Professional Professional Modifier Low / Median / High Price $355.01 / $497.16 / $841.27	Professional		$355.01	$497.16	$841.27