Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.40 / $99.10 / $165.39	Facility	26	$70.40	$99.10	$165.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.35 / $209.52 / $390.05	Professional		$151.35	$209.52	$390.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $86.51 / $143.16	Professional	26	$49.85	$86.51	$143.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.23 / $71.23 / $122.88	Professional	26	$71.23	$71.23	$122.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.18 / $206.80 / $782.68	Professional		$165.18	$206.80	$782.68
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.75 / $62.06 / $108.47	Professional	26	$52.75	$62.06	$108.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $100.94 / $197.48	Professional		$75.72	$100.94	$197.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $341.97 / $768.69	Professional		$169.70	$341.97	$768.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.61 / $90.60 / $168.95	Professional	26	$62.61	$90.60	$168.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.96	Professional		$32.34	$32.34	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $236.50 / $506.07	Professional		$155.77	$236.50	$506.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.18 / $83.59 / $140.46	Professional	26	$53.18	$83.59	$140.46