Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.96 / $60.96 / $93.69	Facility	26	$60.96	$60.96	$93.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $216.68 / $383.66	Professional		$193.16	$216.68	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $60.96 / $77.33	Professional	26	$57.89	$60.96	$77.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $45.08 / $45.08	Professional	26	$45.08	$45.08	$45.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.92 / $345.15 / $500.55	Professional		$255.92	$345.15	$500.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.68 / $82.10 / $117.96	Professional	26	$65.68	$82.10	$117.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $153.36 / $243.57	Professional		$58.21	$153.36	$243.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $425.55 / $793.42	Professional		$200.42	$425.55	$793.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.91 / $78.79 / $135.00	Professional	26	$56.91	$78.79	$135.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.71 / $327.02 / $566.16	Professional		$215.71	$327.02	$566.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.44 / $65.18 / $126.32	Professional	26	$55.44	$65.18	$126.32