Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.82 / $213.82 / $317.31	Facility	26	$213.82	$213.82	$317.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $580.76 / $638.84	Professional		$540.82	$580.76	$638.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $176.50 / $192.36 / $243.49	Professional	26	$176.50	$192.36	$243.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $150.21 / $150.21 / $150.21	Professional	26	$150.21	$150.21	$150.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.12 / $829.16 / $1,177.40	Professional		$513.12	$829.16	$1,177.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.96 / $282.19 / $380.95	Professional	26	$178.96	$282.19	$380.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $457.16 / $747.21	Professional		$197.15	$457.16	$747.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $737.90 / $1,205.20	Professional		$629.16	$737.90	$1,205.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.28 / $253.87 / $417.12	Professional	26	$213.28	$253.87	$417.12
United Facility/Professional Professional Modifier Low / Median / High Price $543.17 / $655.30 / $1,102.39	Professional		$543.17	$655.30	$1,102.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $185.14 / $219.84 / $376.07	Professional	26	$185.14	$219.84	$376.07