Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.77 / $104.38 / $142.55	Facility	26	$68.77	$104.38	$142.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $243.28 / $870.52	Professional		$196.11	$243.28	$870.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $340.68 / $340.68	Professional		$340.68	$340.68	$340.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.86 / $198.60 / $345.71	Professional		$160.86	$198.60	$345.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $174.25 / $311.99	Professional		$80.06	$174.25	$311.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.24 / $90.24 / $90.24	Facility	26	$90.24	$90.24	$90.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.18 / $282.33 / $511.60	Professional		$176.18	$282.33	$511.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.40	Professional		$32.34	$32.34	$96.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $232.58 / $373.21	Professional		$165.66	$232.58	$373.21