Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.53 / $22.81 / $30.12	Facility	26	$20.53	$22.81	$30.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $123.40 / $188.54	Professional		$101.56	$123.40	$188.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.53 / $22.50 / $35.92	Professional	26	$20.53	$22.50	$35.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $20.04 / $20.04	Professional	26	$20.04	$20.04	$20.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $96.93 / $164.05	Professional		$82.39	$96.93	$164.05
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.42 / $26.66 / $42.18	Professional	26	$22.42	$26.66	$42.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $34.02 / $176.51	Professional		$24.45	$34.02	$176.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $146.00 / $247.61	Professional		$100.23	$146.00	$247.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.89 / $34.35 / $53.46	Professional	26	$22.89	$34.35	$53.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $69.26	Professional		$32.34	$32.34	$69.26
United Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $117.94 / $178.22	Professional		$87.84	$117.94	$178.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $25.88 / $36.90	Professional	26	$21.38	$25.88	$36.90