Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.07 / $43.58 / $58.88	Facility	26	$29.07	$43.58	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $96.53 / $492.00	Professional		$76.89	$96.53	$492.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $90.82 / $117.36	Professional		$90.82	$90.82	$117.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $97.46 / $148.77	Professional		$82.84	$97.46	$148.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $53.65 / $104.69	Professional		$33.97	$53.65	$104.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $122.06 / $182.83	Professional		$80.84	$122.06	$182.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.52	Professional		$32.34	$32.34	$75.52
United Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $95.01 / $134.18	Professional		$77.45	$95.01	$134.18