Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $66.07 / $66.07	Facility	26	$58.88	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $478.63	Professional		$181.97	$223.87	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $102.33	Professional		$61.66	$83.18	$102.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $1,000.00	Professional		$218.78	$426.58	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $630.96 / $891.25	Professional		$223.87	$630.96	$891.25