Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.49 / $23.54 / $27.16	Facility	26	$23.49	$23.54	$27.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $122.15 / $151.36	Professional		$118.15	$122.15	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $23.54 / $27.16	Professional	26	$22.07	$23.54	$27.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $20.19 / $26.69	Professional	26	$20.19	$20.19	$26.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $97.88 / $146.32	Professional		$83.19	$97.88	$146.32
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.48 / $19.39 / $25.37	Professional	26	$16.48	$19.39	$25.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $34.15 / $184.49	Professional		$24.50	$34.15	$184.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $186.99 / $290.00	Professional		$130.90	$186.99	$290.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $32.61 / $50.43	Professional	26	$22.27	$32.61	$50.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.44	Professional		$32.34	$32.34	$119.44
United Facility/Professional Professional Modifier Low / Median / High Price $133.87 / $178.09 / $286.86	Professional		$133.87	$178.09	$286.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $30.40 / $49.98	Professional	26	$23.01	$30.40	$49.98