Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $22.39 / $22.39	Facility	26	$19.95	$22.39	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $204.17	Professional		$91.20	$123.03	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.39 / $48.98	Professional	26	$19.05	$22.39	$48.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $21.88 / $23.44	Professional	26	$6.61	$21.88	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $173.78	Professional		$91.20	$97.72	$173.78
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $26.92 / $46.77	Professional	26	$25.70	$26.92	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $33.88	Professional		$20.89	$28.84	$33.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $616.60	Professional		$100.00	$154.88	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $114.82	Professional	26	$22.91	$39.81	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $181.97	Professional		$87.10	$112.20	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.70 / $39.81	Professional	26	$21.38	$25.70	$39.81