Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $442.45 / $442.45 / $694.02	Facility	26	$442.45	$442.45	$694.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $843.88 / $1,098.39	Professional		$740.75	$843.88	$1,098.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $425.25 / $465.65 / $694.02	Professional	26	$425.25	$465.65	$694.02
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $505.69 / $505.69 / $505.69	Professional	26	$505.69	$505.69	$505.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.84 / $891.25 / $1,216.27	Professional		$752.84	$891.25	$1,216.27
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $511.48 / $614.22 / $839.50	Professional	26	$511.48	$614.22	$839.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.57 / $580.66 / $1,164.18	Professional		$445.57	$580.66	$1,164.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $523.61 / $523.61 / $523.61	Facility	26	$523.61	$523.61	$523.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.87 / $1,280.11 / $2,777.14	Professional		$833.87	$1,280.11	$2,777.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $546.02 / $782.99 / $1,335.29	Professional	26	$546.02	$782.99	$1,335.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $914.72	Professional		$32.34	$32.34	$914.72
United Facility/Professional Professional Modifier Low / Median / High Price $732.40 / $886.05 / $1,532.35	Professional		$732.40	$886.05	$1,532.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $431.84 / $555.85 / $747.03	Professional	26	$431.84	$555.85	$747.03