Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.73 / $54.77 / $100.95	Facility	26	$48.73	$54.77	$100.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $133.91 / $623.00	Professional		$103.00	$133.91	$623.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $126.49 / $153.08	Professional		$83.00	$126.49	$153.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $121.36 / $180.07	Professional		$103.16	$121.36	$180.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $69.61 / $134.94	Professional		$51.82	$69.61	$134.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $156.59 / $263.87	Professional		$102.34	$156.59	$263.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.70	Professional		$32.34	$32.34	$94.70
United Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $127.13 / $170.16	Professional		$101.82	$127.13	$170.16