Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $17.38 / $23.99	Facility	26	$15.14	$17.38	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $208.93	Professional		$72.44	$97.72	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $165.96	Professional		$70.79	$79.43	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $125.89	Professional		$66.07	$69.18	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $27.54	Professional		$16.98	$22.91	$27.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.42 / $29.51	Facility	26	$4.47	$20.42	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $426.58	Professional		$72.44	$109.65	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $128.82	Professional		$64.57	$81.28	$128.82