Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.41 / $55.41 / $93.15	Facility	26	$55.41	$55.41	$93.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $201.82 / $254.48	Professional		$165.06	$201.82	$254.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.99 / $55.41 / $70.97	Professional	26	$43.99	$55.41	$70.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $50.41 / $50.41 / $63.63	Professional	26	$50.41	$50.41	$63.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $152.80 / $216.97	Professional		$143.09	$152.80	$216.97
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.44 / $64.30 / $91.30	Professional	26	$51.44	$64.30	$91.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $165.25 / $262.45	Professional		$58.57	$165.25	$262.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $218.71 / $420.20	Professional		$150.37	$218.71	$420.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $68.97 / $111.60	Professional	26	$50.63	$68.97	$111.60
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $223.75 / $392.07	Professional		$168.90	$223.75	$392.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.65 / $62.31 / $102.80	Professional	26	$47.65	$62.31	$102.80