Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.94 / $33.27 / $44.69	Facility	26	$29.94	$33.27	$44.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $126.37 / $549.00	Professional		$97.88	$126.37	$549.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $82.60 / $110.42	Professional		$79.94	$82.60	$110.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $115.31 / $165.47	Professional		$96.44	$115.31	$165.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $78.33 / $139.06	Professional		$34.46	$78.33	$139.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $141.55 / $240.97	Professional		$95.61	$141.55	$240.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.00	Professional		$32.34	$32.34	$105.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $117.97 / $163.77	Professional		$94.20	$117.97	$163.77