Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.75 / $84.75 / $143.13	Facility	26	$84.75	$84.75	$143.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $152.13 / $250.14	Professional		$132.60	$152.13	$250.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.63 / $84.75 / $110.83	Professional	26	$77.63	$84.75	$110.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $131.27 / $131.27 / $131.27	Professional	26	$131.27	$131.27	$131.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $487.67 / $780.27	Professional		$195.28	$487.67	$780.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $89.36 / $111.70 / $158.61	Professional	26	$89.36	$111.70	$158.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $105.86 / $190.85	Professional		$59.51	$105.86	$190.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $344.43 / $946.88	Professional		$146.10	$344.43	$946.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.33 / $118.93 / $192.22	Professional	26	$85.33	$118.93	$192.22
United Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $222.99 / $633.82	Professional		$159.37	$222.99	$633.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.82 / $98.18 / $169.95	Professional	26	$84.82	$98.18	$169.95