Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $295.12 / $426.58	Facility	26	$245.47	$295.12	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,621.81	Professional		$891.25	$1,071.52	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $295.12 / $501.19	Professional	26	$234.42	$295.12	$501.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $199.53 / $263.03 / $323.59	Professional	26	$199.53	$263.03	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $2,041.74	Professional		$630.96	$741.31	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $251.19 / $346.74 / $537.03	Professional	26	$251.19	$346.74	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $645.65 / $1,023.29	Professional		$223.87	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,819.70	Professional		$977.24	$1,230.27	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $338.84 / $741.31	Professional	26	$245.47	$338.84	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,778.28	Professional		$794.33	$1,071.52	$1,778.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $316.23 / $489.78	Professional	26	$218.78	$316.23	$489.78