Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $109.65 / $151.36	Facility	26	$81.28	$109.65	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $218.78	Professional		$114.82	$138.04	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $354.81	Professional		$144.54	$151.36	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $72.44	Professional		$39.81	$61.66	$72.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $134.90	Facility	26	$20.42	$95.50	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $851.14	Professional		$141.25	$269.15	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $234.42	Professional		$131.83	$169.82	$234.42