Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.70 / $122.59 / $163.13	Facility	26	$78.70	$122.59	$163.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $209.42 / $1,078.15	Professional		$152.91	$209.42	$1,078.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.20 / $87.87 / $222.34	Professional	26	$81.20	$87.87	$222.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $185.99 / $221.98	Professional		$172.86	$185.99	$221.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.99 / $108.36 / $116.69	Professional	26	$85.99	$108.36	$116.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $210.17 / $368.20	Professional		$170.56	$210.17	$368.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.15 / $103.70 / $156.18	Professional	26	$88.15	$103.70	$156.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $108.36 / $211.21	Professional		$82.73	$108.36	$211.21
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 $163.07 / $262.56 / $428.88	Professional		$163.07	$262.56	$428.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.77 / $125.30 / $214.61	Professional	26	$85.77	$125.30	$214.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.86	Professional		$32.34	$32.34	$144.86
United Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $203.82 / $295.44	Professional		$149.87	$203.82	$295.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.76 / $101.44 / $140.51	Professional	26	$83.76	$101.44	$140.51