Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $549.54	Professional		$323.59	$389.05	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $467.74	Professional		$245.47	$331.13	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $630.96	Professional		$234.42	$316.23	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $660.69	Professional		$269.15	$398.11	$660.69