Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.20 / $112.31 / $165.56	Facility	26	$81.20	$112.31	$165.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $177.96 / $416.75	Professional		$141.81	$177.96	$416.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.77 / $90.24 / $140.59	Professional	26	$78.77	$90.24	$140.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $121.49 / $121.49	Professional	26	$73.34	$121.49	$121.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $201.14 / $851.39	Professional		$165.99	$201.14	$851.39
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $81.79 / $99.94 / $145.44	Professional	26	$81.79	$99.94	$145.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $84.83 / $195.26	Professional		$59.90	$84.83	$195.26
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 $171.20 / $369.67 / $887.60	Professional		$171.20	$369.67	$887.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.01 / $127.46 / $202.54	Professional	26	$89.01	$127.46	$202.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.92	Professional		$32.34	$32.34	$368.92
United Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $240.66 / $553.62	Professional		$153.33	$240.66	$553.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.04 / $99.97 / $149.96	Professional	26	$82.04	$99.97	$149.96