Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.71 / $58.71 / $78.79	Facility	26	$58.71	$58.71	$78.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.87 / $199.20 / $346.50	Professional		$188.87	$199.20	$346.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.71 / $61.24 / $77.73	Professional	26	$58.71	$61.24	$77.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $55.74 / $67.08	Professional	26	$45.31	$55.74	$67.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.34 / $293.66 / $443.90	Professional		$242.34	$293.66	$443.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.51 / $70.02 / $102.92	Professional	26	$59.51	$70.02	$102.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $92.24 / $261.41	Professional		$64.15	$92.24	$261.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.27 / $464.62 / $750.15	Professional		$237.27	$464.62	$750.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.61 / $93.38 / $143.97	Professional	26	$55.61	$93.38	$143.97
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 $216.03 / $334.36 / $484.83	Professional		$216.03	$334.36	$484.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.20 / $68.15 / $97.44	Professional	26	$56.20	$68.15	$97.44