Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.94 / $35.76 / $47.94	Facility	26	$22.94	$35.76	$47.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $47.52 / $258.00	Professional		$42.36	$47.52	$258.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $65.09 / $65.09	Professional		$65.09	$65.09	$65.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $52.43 / $105.80	Professional		$46.49	$52.43	$105.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $28.03 / $60.34	Professional		$20.85	$28.03	$60.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $75.03 / $126.33	Professional		$44.94	$75.03	$126.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $32.34 / $56.03	Professional		$30.62	$32.34	$56.03
United Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $58.63 / $88.66	Professional		$44.03	$58.63	$88.66