Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $66.07 / $66.07	Facility	26	$58.88	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $239.88	Professional		$109.65	$138.04	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $218.78	Professional		$123.03	$141.25	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $87.10	Professional		$50.12	$72.44	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $616.60	Professional		$109.65	$177.83	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $208.93	Professional		$104.71	$134.90	$208.93