Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.48 / $93.98 / $127.19	Facility	26	$57.48	$93.98	$127.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $368.22 / $840.76	Professional		$274.83	$368.22	$840.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.57 / $62.11 / $118.48	Professional	26	$55.57	$62.11	$118.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $52.40 / $52.40 / $52.40	Professional	26	$52.40	$52.40	$52.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $102.92 / $636.14	Professional		$99.92	$102.92	$636.14
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.97 / $31.97 / $107.50	Professional	26	$31.97	$31.97	$107.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $157.21 / $617.33	Professional		$83.15	$157.21	$617.33
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $105.59 / $105.59 / $105.59	Facility	26	$105.59	$105.59	$105.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $430.49 / $1,076.44	Professional		$216.95	$430.49	$1,076.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.56 / $87.51 / $160.47	Professional	26	$35.56	$87.51	$160.47
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 $336.78 / $427.75 / $788.20	Professional		$336.78	$427.75	$788.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.46 / $79.76 / $129.26	Professional	26	$47.46	$79.76	$129.26