Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.54 / $92.54 / $156.29	Facility	26	$92.54	$92.54	$156.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.16 / $333.09 / $475.00	Professional		$297.16	$333.09	$475.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.04 / $267.04 / $267.04	Professional		$267.04	$267.04	$267.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.91 / $372.69 / $577.66	Professional		$289.91	$372.69	$577.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $261.77 / $415.76	Professional		$97.10	$261.77	$415.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $461.30 / $731.42	Professional		$326.13	$461.30	$731.42
United Facility/Professional Professional Modifier Low / Median / High Price $363.84 / $591.69 / $1,132.41	Professional		$363.84	$591.69	$1,132.41