Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.93 / $45.10 / $75.12	Facility	26	$42.93	$45.10	$75.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $113.48 / $181.63	Professional		$94.35	$113.48	$181.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.40 / $47.06 / $73.95	Professional	26	$32.40	$47.06	$73.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $37.61 / $37.61	Professional	26	$37.61	$37.61	$37.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $101.94 / $154.79	Professional		$81.20	$101.94	$154.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $34.19 / $61.52	Professional	26	$28.73	$34.19	$61.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $63.61 / $122.82	Professional		$48.93	$63.61	$122.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.06 / $56.06 / $56.06	Facility	26	$56.06	$56.06	$56.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $139.72 / $240.02	Professional		$87.37	$139.72	$240.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $53.72 / $89.86	Professional	26	$36.50	$53.72	$89.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $32.34 / $58.17	Professional		$31.55	$32.34	$58.17
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $111.02 / $164.57	Professional		$80.09	$111.02	$164.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.31 / $37.04 / $57.92	Professional	26	$31.31	$37.04	$57.92