Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.36 / $101.23 / $107.34	Facility	26	$84.36	$101.23	$107.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $173.43 / $292.45	Professional		$152.91	$173.43	$292.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.76 / $86.69 / $173.67	Professional	26	$81.76	$86.69	$173.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $172.86 / $259.95	Professional		$127.83	$172.86	$259.95
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.22 / $100.63 / $125.79	Professional	26	$89.22	$100.63	$125.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $239.97 / $371.95	Professional		$191.97	$239.97	$371.95
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.64 / $120.80 / $171.53	Professional	26	$96.64	$120.80	$171.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $104.83 / $206.13	Professional		$80.47	$104.83	$206.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $102.92	Facility	26	$102.92	$102.92	$102.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $259.22 / $439.58	Professional		$155.15	$259.22	$439.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.30 / $120.58 / $202.41	Professional	26	$86.30	$120.58	$202.41
United Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $191.93 / $332.33	Professional		$153.69	$191.93	$332.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.28 / $100.30 / $163.21	Professional	26	$80.28	$100.30	$163.21