Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.18 / $22.56 / $28.50	Facility	26	$21.18	$22.56	$28.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $107.00 / $207.10	Professional		$68.48	$107.00	$207.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $23.54 / $93.24	Professional	26	$16.71	$23.54	$93.24
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.62 / $28.50 / $37.61	Professional	26	$4.62	$28.50	$37.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $174.69 / $322.87	Professional		$129.75	$174.69	$322.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $20.14 / $31.23	Professional	26	$17.12	$20.14	$31.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $52.66 / $95.87	Professional		$25.40	$52.66	$95.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $144.09 / $238.54	Professional		$78.77	$144.09	$238.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $27.79 / $44.12	Professional	26	$19.57	$27.79	$44.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $89.02	Professional		$32.34	$32.34	$89.02
United Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $101.88 / $142.56	Professional		$62.31	$101.88	$142.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.10 / $24.96 / $37.56	Professional	26	$17.10	$24.96	$37.56