Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.17 / $73.52 / $96.06	Facility	26	$66.17	$73.52	$96.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.25 / $164.73 / $290.43	Professional		$145.25	$164.73	$290.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.17 / $73.37 / $118.18	Professional	26	$66.17	$73.37	$118.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $55.88 / $55.88	Professional	26	$55.88	$55.88	$55.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $162.00 / $250.44	Professional		$144.63	$162.00	$250.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $80.12 / $120.16	Professional	26	$70.62	$80.12	$120.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $99.57 / $193.63	Professional		$70.62	$99.57	$193.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $215.45 / $338.99	Professional		$150.06	$215.45	$338.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.03 / $100.83 / $156.99	Professional	26	$71.03	$100.83	$156.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.78	Professional		$32.34	$32.34	$114.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $178.98 / $245.09	Professional		$147.05	$178.98	$245.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.28 / $81.31 / $115.47	Professional	26	$69.28	$81.31	$115.47