Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.80 / $33.49 / $67.39	Facility	26	$28.80	$33.49	$67.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $113.29 / $201.36	Professional		$96.60	$113.29	$201.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.42 / $36.83 / $59.08	Professional	26	$21.42	$36.83	$59.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.38 / $33.60 / $42.57	Professional	26	$28.38	$33.60	$42.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $88.37 / $147.75	Professional		$74.92	$88.37	$147.75
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $25.36 / $45.73	Professional	26	$21.55	$25.36	$45.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $56.98 / $156.16	Professional		$40.86	$56.98	$156.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $134.40 / $231.35	Professional		$88.71	$134.40	$231.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.86 / $125.21	Professional	26	$25.70	$38.86	$125.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.67	Professional		$32.34	$32.34	$94.67
United Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $112.33 / $172.30	Professional		$74.01	$112.33	$172.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.43 / $36.15 / $58.61	Professional	26	$21.43	$36.15	$58.61