Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $74.13 / $74.13	Facility	26	$67.61	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $691.83	Professional		$371.54	$457.09	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $87.10 / $162.18	Professional	26	$67.61	$87.10	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $575.44	Professional		$346.74	$407.38	$575.44
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $83.18 / $109.65	Professional	26	$74.13	$83.18	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $107.15	Professional		$70.79	$91.20	$107.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.38 / $81.28 / $114.82	Facility	26	$17.38	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,949.84	Professional		$338.84	$588.84	$1,949.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $120.23 / $331.13	Professional	26	$69.18	$120.23	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $645.65	Professional		$380.19	$446.68	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $107.15	Professional	26	$61.66	$75.86	$107.15