Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.69 / $58.69 / $89.69	Facility	26	$58.69	$58.69	$89.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $247.92 / $349.00	Professional		$218.08	$247.92	$349.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.68 / $59.84 / $75.69	Professional	26	$55.68	$59.84	$75.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $185.18 / $185.18	Professional		$185.18	$185.18	$185.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $81.05 / $90.09	Professional	26	$43.04	$81.05	$90.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $342.31 / $472.38	Professional		$250.30	$342.31	$472.38
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $78.90 / $108.88	Professional	26	$63.10	$78.90	$108.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $206.70 / $304.20	Professional		$56.39	$206.70	$304.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $404.23 / $644.25	Professional		$246.62	$404.23	$644.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.47 / $75.52 / $126.85	Professional	26	$54.47	$75.52	$126.85
United Facility/Professional Professional Modifier Low / Median / High Price $247.74 / $339.45 / $565.42	Professional		$247.74	$339.45	$565.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.08 / $62.71 / $121.32	Professional	26	$53.08	$62.71	$121.32