Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $74.13 / $74.13	Facility	26	$66.07	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $323.59	Professional		$138.04	$169.82	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $74.13 / $144.54	Professional	26	$61.66	$74.13	$144.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $239.88	Professional		$158.49	$162.18	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $74.13 / $117.49	Professional	26	$72.44	$74.13	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $112.20	Professional		$69.18	$91.20	$112.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $812.83	Professional		$144.54	$229.09	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $371.54	Professional	26	$72.44	$109.65	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $275.42	Professional		$147.91	$177.83	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $81.28 / $128.82	Professional	26	$67.61	$81.28	$128.82