Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $101.59	Facility	26	$60.73	$60.73	$101.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.16 / $308.82 / $328.07	Professional		$301.16	$308.82	$328.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.86 / $60.73 / $63.26	Professional	26	$59.86	$60.73	$63.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $60.11 / $60.11 / $60.11	Professional	26	$60.11	$60.11	$60.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $243.82 / $346.22	Professional		$243.82	$243.82	$346.22
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.95 / $86.20 / $118.95	Professional	26	$68.95	$86.20	$118.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $298.10 / $388.17	Professional		$69.13	$298.10	$388.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.29 / $359.74 / $715.15	Professional		$268.29	$359.74	$715.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.42 / $87.87 / $148.47	Professional	26	$75.42	$87.87	$148.47
United Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $378.94 / $644.20	Professional		$292.93	$378.94	$644.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.53 / $75.88 / $124.07	Professional	26	$61.53	$75.88	$124.07