Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.37 / $30.37 / $36.11	Facility	26	$30.37	$30.37	$36.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $89.54 / $108.54	Professional		$81.11	$89.54	$108.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $31.69 / $39.28	Professional	26	$28.99	$31.69	$39.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $72.41 / $76.01	Professional		$72.41	$72.41	$76.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	26	$27.12	$27.12	$27.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $89.61 / $120.72	Professional		$74.62	$89.61	$120.72
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.29 / $32.11 / $44.31	Professional	26	$27.29	$32.11	$44.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.83 / $62.12 / $101.41	Professional		$30.83	$62.12	$101.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.04 / $36.04 / $36.04	Facility	26	$36.04	$36.04	$36.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $114.46 / $162.49	Professional		$85.79	$114.46	$162.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $41.49 / $57.79	Professional	26	$30.68	$41.49	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $95.90 / $146.80	Professional		$77.26	$95.90	$146.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.28 / $34.84 / $54.35	Professional	26	$28.28	$34.84	$54.35