Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.41 / $58.41 / $78.79	Facility	26	$58.41	$58.41	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $201.65 / $413.85	Professional		$187.10	$201.65	$413.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.89 / $60.93 / $78.79	Professional	26	$57.89	$60.93	$78.79
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 $239.71 / $290.48 / $442.21	Professional		$239.71	$290.48	$442.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.52 / $70.03 / $102.83	Professional	26	$59.52	$70.03	$102.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $88.99 / $244.71	Professional		$55.62	$88.99	$244.71
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 $235.74 / $462.83 / $752.12	Professional		$235.74	$462.83	$752.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $93.38 / $143.26	Professional	26	$55.34	$93.38	$143.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $248.28	Professional		$32.34	$32.34	$248.28
United Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $327.39 / $492.23	Professional		$213.51	$327.39	$492.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.52 / $68.06 / $116.43	Professional	26	$56.52	$68.06	$116.43