Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.13 / $56.13 / $75.69	Facility	26	$56.13	$56.13	$75.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $230.82 / $349.00	Professional		$213.51	$230.82	$349.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $58.18 / $75.69	Professional	26	$52.46	$58.18	$75.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $43.04 / $43.04	Professional	26	$43.04	$43.04	$43.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.52 / $303.32 / $453.14	Professional		$231.52	$303.32	$453.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.19 / $67.29 / $98.92	Professional	26	$57.19	$67.29	$98.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $85.02 / $326.52	Professional		$57.57	$85.02	$326.52
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 $291.55 / $446.52 / $722.73	Professional		$291.55	$446.52	$722.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.22 / $86.34 / $138.40	Professional	26	$53.22	$86.34	$138.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.90	Professional		$32.34	$32.34	$262.90
United Facility/Professional Professional Modifier Low / Median / High Price $252.06 / $328.63 / $498.07	Professional		$252.06	$328.63	$498.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.01 / $62.94 / $93.66	Professional	26	$54.01	$62.94	$93.66