Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $32.36 / $32.36	Facility	26	$28.84	$32.36	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $389.05	Professional		$75.86	$102.33	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $169.82	Professional		$69.18	$89.13	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $154.88	Professional		$95.50	$97.72	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $100.00	Professional		$33.88	$53.70	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $436.52	Professional		$77.62	$131.83	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $147.91	Professional		$75.86	$95.50	$147.91