Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.34 / $131.47 / $138.91	Facility	26	$115.34	$131.47	$138.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.42 / $50.49 / $59.01	Facility	53	$27.42	$50.49	$59.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.25 / $281.47 / $384.37	Professional		$236.25	$281.47	$384.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.26 / $119.95 / $212.00	Professional	26	$100.26	$119.95	$212.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $120.70 / $127.22 / $146.79	Professional	26	$120.70	$127.22	$146.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.61 / $334.11 / $466.99	Professional		$270.61	$334.11	$466.99
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.01 / $148.38 / $213.02	Professional	26	$113.01	$148.38	$213.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $142.03 / $269.08	Professional		$103.98	$142.03	$269.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.36 / $120.36 / $120.36	Facility	26	$120.36	$120.36	$120.36
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.64 / $52.64 / $52.64	Facility	53	$52.64	$52.64	$52.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $346.90 / $548.22	Professional		$245.75	$346.90	$548.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.52 / $146.65 / $252.34	Professional	26	$109.52	$146.65	$252.34
United Facility/Professional Professional Modifier Low / Median / High Price $222.62 / $316.86 / $507.98	Professional		$222.62	$316.86	$507.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.71 / $123.42 / $226.45	Professional	26	$95.71	$123.42	$226.45