Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $373.23 / $393.62 / $717.45	Facility	26	$373.23	$393.62	$717.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.04 / $1,283.46 / $1,940.43	Professional		$1,222.04	$1,283.46	$1,940.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $348.30 / $399.99 / $665.25	Professional	26	$348.30	$399.99	$665.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $447.60 / $447.60 / $447.60	Professional	26	$447.60	$447.60	$447.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.89 / $1,065.76 / $1,593.42	Professional		$905.89	$1,065.76	$1,593.42
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $327.49 / $385.29 / $515.67	Professional	26	$327.49	$385.29	$515.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $804.23 / $1,464.47	Professional		$390.20	$804.23	$1,464.47
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $417.96 / $417.96 / $417.96	Facility	26	$417.96	$417.96	$417.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.77 / $1,744.83 / $2,620.98	Professional		$1,200.77	$1,744.83	$2,620.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $381.94 / $556.29 / $841.32	Professional	26	$381.94	$556.29	$841.32
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 $1,201.08 / $1,640.14 / $2,191.44	Professional		$1,201.08	$1,640.14	$2,191.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $371.99 / $530.29 / $714.49	Professional	26	$371.99	$530.29	$714.49