Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $120.23	Facility	26	$63.10	$63.10	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $489.78	Professional		$281.84	$331.13	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $64.57 / $151.36	Professional	26	$57.54	$64.57	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $85.11 / $120.23	Professional	26	$75.86	$85.11	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $478.63	Professional		$269.15	$316.23	$478.63
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $104.71	Professional	26	$64.57	$75.86	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $100.00	Professional		$64.57	$81.28	$100.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $74.13 / $104.71	Facility	26	$15.85	$74.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,548.82	Professional		$288.40	$426.58	$1,548.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $138.04 / $338.84	Professional	26	$77.62	$138.04	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $380.19 / $537.03	Professional		$223.87	$380.19	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $79.43 / $102.33	Professional	26	$61.66	$79.43	$102.33