Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.13 / $257.10 / $458.96	Facility	26	$238.13	$257.10	$458.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.18 / $931.27 / $1,458.84	Professional		$887.18	$931.27	$1,458.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $222.87 / $257.17 / $441.26	Professional	26	$222.87	$257.17	$441.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $270.60 / $285.87 / $298.74	Professional	26	$270.60	$285.87	$298.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.17 / $747.28 / $1,119.41	Professional		$635.17	$747.28	$1,119.41
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $213.91 / $251.66 / $336.83	Professional	26	$213.91	$251.66	$336.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.22 / $615.97 / $1,060.48	Professional		$238.22	$615.97	$1,060.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $267.36 / $267.36 / $267.36	Facility	26	$267.36	$267.36	$267.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.79 / $1,221.13 / $1,836.60	Professional		$855.79	$1,221.13	$1,836.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $243.63 / $362.55 / $549.46	Professional	26	$243.63	$362.55	$549.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $840.61 / $1,147.84 / $1,576.79	Professional		$840.61	$1,147.84	$1,576.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $237.60 / $336.90 / $456.42	Professional	26	$237.60	$336.90	$456.42