Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.72 / $114.52 / $149.22	Facility	26	$73.72	$114.52	$149.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $177.76 / $383.25	Professional		$145.56	$177.76	$383.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.06 / $197.06 / $254.46	Professional		$197.06	$197.06	$254.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $130.31 / $261.41	Professional		$102.89	$130.31	$261.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $110.45 / $218.40	Professional		$78.33	$110.45	$218.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.34 / $245.17 / $407.51	Professional		$153.34	$245.17	$407.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.88	Professional		$32.34	$32.34	$110.88
United Facility/Professional Professional Modifier Low / Median / High Price $149.49 / $196.81 / $277.35	Professional		$149.49	$196.81	$277.35