Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $48.98 / $48.98	Facility	26	$42.66	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $134.90	Professional		$64.57	$79.43	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $85.11	Professional	26	$38.90	$44.67	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	26	$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $79.43	Professional		$53.70	$63.10	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $42.66 / $53.70	Professional	26	$36.31	$42.66	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $46.77	Professional		$26.92	$37.15	$46.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $354.81	Professional		$69.18	$95.50	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $64.57 / $190.55	Professional	26	$41.69	$64.57	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $131.83	Professional		$63.10	$83.18	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $54.95 / $83.18	Professional	26	$39.81	$54.95	$83.18