Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $25.70 / $25.70	Facility	26	$21.88	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $89.13	Professional		$33.88	$53.70	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $41.69	Professional	26	$19.95	$22.91	$41.69
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $27.54 / $52.48	Professional	26	$22.39	$27.54	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $51.29	Professional		$30.90	$36.31	$51.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.44 / $31.62	Professional	26	$19.95	$23.44	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $31.62	Professional		$19.95	$25.12	$31.62
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.25 / $24.55 / $34.67	Facility	26	$5.25	$24.55	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $239.88	Professional		$39.81	$63.10	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $100.00	Professional	26	$22.39	$33.11	$100.00
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 $33.11 / $46.77 / $85.11	Professional		$33.11	$46.77	$85.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $25.70 / $42.66	Professional	26	$20.42	$25.70	$42.66