Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $524.81 / $741.31	Facility	26	$389.05	$524.81	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,454.71	Professional		$1,148.15	$1,412.54	$2,454.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $338.84 / $489.78 / $812.83	Professional	26	$338.84	$489.78	$812.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $354.81 / $467.74 / $776.25	Professional	26	$354.81	$467.74	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,584.89	Professional		$912.01	$1,071.52	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $389.05 / $537.03	Professional	26	$331.13	$389.05	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $1,348.96	Professional		$371.54	$676.08	$1,348.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $416.87 / $588.84	Facility	26	$89.13	$416.87	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $5,495.41	Professional		$1,445.44	$1,949.84	$5,495.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $467.74 / $707.95 / $1,698.24	Professional	26	$467.74	$707.95	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,344.23	Professional		$1,174.90	$1,621.81	$2,344.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $524.81 / $741.31	Professional	26	$371.54	$524.81	$741.31