Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.63 / $114.44 / $157.34	Facility	26	$82.63	$114.44	$157.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.01 / $319.64 / $681.11	Professional		$240.01	$319.64	$681.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $86.19 / $166.61	Professional	26	$78.03	$86.19	$166.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $64.13 / $74.70	Professional	26	$62.89	$64.13	$74.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.47 / $343.50 / $509.64	Professional		$261.47	$343.50	$509.64
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.87 / $96.10 / $129.12	Professional	26	$72.87	$96.10	$129.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $130.50 / $390.18	Professional		$90.76	$130.50	$390.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.26 / $524.57 / $879.32	Professional		$351.26	$524.57	$879.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.94 / $124.49 / $204.39	Professional	26	$78.94	$124.49	$204.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $256.26	Professional		$32.34	$32.34	$256.26
United Facility/Professional Professional Modifier Low / Median / High Price $292.49 / $417.95 / $585.41	Professional		$292.49	$417.95	$585.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.25 / $91.67 / $135.80	Professional	26	$79.25	$91.67	$135.80