Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.43 / $12.95 / $21.81	Facility	26	$11.43	$12.95	$21.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $63.04 / $475.00	Professional		$43.08	$63.04	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $13.90 / $140.00	Professional	26	$11.43	$13.90	$140.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.83 / $13.68 / $13.68	Professional	26	$12.83	$13.68	$13.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $67.20 / $109.94	Professional		$52.26	$67.20	$109.94
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $13.54 / $18.71	Professional	26	$11.50	$13.54	$18.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $32.95 / $55.43	Professional		$12.55	$32.95	$55.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $93.09 / $160.74	Professional		$46.71	$93.09	$160.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.84 / $16.78 / $27.78	Professional	26	$10.84	$16.78	$27.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $58.05	Professional		$32.34	$32.34	$58.05
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $72.56 / $100.67	Professional		$47.64	$72.56	$100.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.58 / $13.50 / $18.95	Professional	26	$11.58	$13.50	$18.95