Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $117.49 / $165.96	Facility	26	$87.10	$117.49	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $1,096.48	Professional		$151.36	$281.84	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $125.89 / $371.54	Professional	26	$77.62	$125.89	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $323.59	Professional		$128.82	$147.91	$323.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $173.78	Professional	26	$66.07	$93.33	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $371.54	Professional		$194.98	$199.53	$371.54
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $104.71 / $154.88	Professional	26	$100.00	$104.71	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $204.17	Professional		$83.18	$107.15	$204.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $102.33 / $144.54	Facility	26	$21.88	$102.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $1,513.56	Professional		$151.36	$295.12	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $141.25 / $630.96	Professional	26	$87.10	$141.25	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Professional		$151.36	$204.17	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $97.72 / $154.88	Professional	26	$83.18	$97.72	$154.88