Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.51 / $54.51 / $65.06	Facility	26	$54.51	$54.51	$65.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $395.31 / $455.20	Professional		$300.74	$395.31	$455.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $305.11 / $546.59	Professional		$258.27	$305.11	$546.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $86.54 / $660.46	Professional		$60.32	$86.54	$660.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.42 / $64.42 / $64.42	Facility	26	$64.42	$64.42	$64.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.92 / $469.96 / $743.81	Professional		$309.92	$469.96	$743.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $420.94	Professional		$32.34	$32.34	$420.94
United Facility/Professional Professional Modifier Low / Median / High Price $272.60 / $406.01 / $629.15	Professional		$272.60	$406.01	$629.15