Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $128.82 / $177.83	Facility	26	$93.33	$128.82	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $295.12	Professional		$144.54	$177.83	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $213.80	Professional		$138.04	$162.18	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $190.55	Professional		$67.61	$93.33	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $102.33 / $147.91	Facility	26	$21.88	$102.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $758.58	Professional		$165.96	$239.88	$758.58
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 $144.54 / $194.98 / $295.12	Professional		$144.54	$194.98	$295.12