Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.54 / $40.54 / $66.52	Facility	26	$40.54	$40.54	$66.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $86.64 / $140.96	Professional		$71.89	$86.64	$140.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.07 / $40.95 / $68.20	Professional	26	$38.07	$40.95	$68.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $84.86 / $84.86	Professional		$84.86	$84.86	$84.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $102.20 / $141.03	Professional		$81.76	$102.20	$141.03
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.76 / $49.70 / $68.58	Professional	26	$39.76	$49.70	$68.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $52.01 / $99.84	Professional		$39.36	$52.01	$99.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $115.97 / $182.39	Professional		$85.33	$115.97	$182.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.15 / $57.05 / $97.31	Professional	26	$45.15	$57.05	$97.31
United Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $98.39 / $163.87	Professional		$73.69	$98.39	$163.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $52.67 / $84.28	Professional	26	$41.68	$52.67	$84.28