Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $102.33	Facility	26	$75.86	$75.86	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $331.13	Professional		$141.25	$165.96	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $75.86 / $229.09	Professional	26	$63.10	$75.86	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $158.49	Professional		$120.23	$144.54	$158.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $75.86 / $87.10	Professional	26	$67.61	$75.86	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $251.19	Professional		$125.89	$158.49	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $138.04	Professional	26	$61.66	$91.20	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $58.88	Professional		$57.54	$57.54	$58.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $75.86 / $109.65	Facility	26	$16.22	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $302.00	Professional		$128.82	$190.55	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $134.90	Professional	26	$63.10	$87.10	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $239.88	Professional		$131.83	$165.96	$239.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $107.15	Professional	26	$58.88	$72.44	$107.15