Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.11 / $63.45 / $99.93	Facility	26	$57.11	$63.45	$99.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $311.95 / $421.01	Professional		$280.75	$311.95	$421.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.11 / $62.64 / $87.62	Professional	26	$57.11	$62.64	$87.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.16 / $75.16 / $75.16	Professional	26	$75.16	$75.16	$75.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.30 / $304.04 / $459.40	Professional		$246.30	$304.04	$459.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.83 / $75.09 / $92.79	Professional	26	$63.83	$75.09	$92.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $99.21 / $430.79	Professional		$69.13	$99.21	$430.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.28 / $74.28 / $74.28	Facility	26	$74.28	$74.28	$74.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.67 / $481.61 / $1,549.73	Professional		$287.67	$481.61	$1,549.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.08 / $109.48 / $325.02	Professional	26	$68.08	$109.48	$325.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $316.47	Professional		$32.34	$32.34	$316.47
United Facility/Professional Professional Modifier Low / Median / High Price $245.18 / $366.88 / $473.74	Professional		$245.18	$366.88	$473.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.39 / $78.37 / $100.80	Professional	26	$61.39	$78.37	$100.80