Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.03 / $47.45 / $60.40	Facility	26	$29.03	$47.45	$60.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $118.67 / $271.75	Professional		$97.75	$118.67	$271.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.16 / $30.13 / $57.81	Professional	26	$28.16	$30.13	$57.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $96.30 / $96.30	Professional		$96.30	$96.30	$96.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.65 / $23.65 / $23.65	Professional	26	$23.65	$23.65	$23.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $53.57 / $123.80	Professional		$32.32	$53.57	$123.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $16.27 / $44.86	Professional	26	$16.27	$16.27	$44.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $77.13 / $213.30	Professional		$40.79	$77.13	$213.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.00 / $59.00 / $59.00	Facility	26	$59.00	$59.00	$59.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $108.81 / $221.22	Professional		$65.52	$108.81	$221.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $45.22 / $83.01	Professional	26	$17.39	$45.22	$83.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $126.13 / $211.14	Professional		$77.94	$126.13	$211.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.06 / $40.42 / $62.17	Professional	26	$24.06	$40.42	$62.17