Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.65 / $125.69 / $204.20	Facility	26	$106.65	$125.69	$204.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.54 / $59.00 / $146.66	Facility	53	$45.54	$59.00	$146.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.81 / $330.43 / $497.76	Professional		$238.81	$330.43	$497.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $103.22 / $127.00 / $528.08	Professional	26	$103.22	$127.00	$528.08
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.74 / $122.18 / $136.84	Professional	26	$97.74	$122.18	$136.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.01 / $270.61 / $417.37	Professional		$230.01	$270.61	$417.37
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.05 / $116.39 / $167.72	Professional	26	$96.05	$116.39	$167.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $141.72 / $279.44	Professional		$106.79	$141.72	$279.44
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 $230.30 / $366.44 / $580.24	Professional		$230.30	$366.44	$580.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.20 / $155.47 / $231.25	Professional	26	$107.20	$155.47	$231.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $197.36	Professional		$32.34	$32.34	$197.36
United Facility/Professional Professional Modifier Low / Median / High Price $236.68 / $330.90 / $443.82	Professional		$236.68	$330.90	$443.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.79 / $141.63 / $202.12	Professional	26	$107.79	$141.63	$202.12