Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $104.71 / $109.65	Facility	26	$102.33	$104.71	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $331.13	Professional		$190.55	$229.09	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $309.03	Professional		$169.82	$213.80	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $154.88	Professional		$81.28	$120.23	$154.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $1,047.13	Professional		$190.55	$346.74	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $141.25	Professional		$32.36	$36.31	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $467.74	Professional		$158.49	$239.88	$467.74