Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $64.57 / $83.18	Facility	26	$53.70	$64.57	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $302.00	Professional		$100.00	$165.96	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $165.96	Professional		$85.11	$97.72	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $190.55	Professional		$107.15	$134.90	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $138.04	Professional		$51.29	$75.86	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $251.19	Professional		$95.50	$147.91	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $199.53	Professional		$100.00	$123.03	$199.53