Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.89 / $63.89 / $63.89	Facility	26	$63.89	$63.89	$63.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $158.94 / $199.51	Professional		$141.78	$158.94	$199.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $66.92 / $88.16	Professional	26	$61.35	$66.92	$88.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $133.15 / $197.53	Professional		$133.15	$133.15	$197.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.66 / $93.15 / $93.15	Professional	26	$87.66	$93.15	$93.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $154.44 / $215.55	Professional		$124.95	$154.44	$215.55
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.25 / $77.86 / $123.40	Professional	26	$62.25	$77.86	$123.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $93.15 / $176.26	Professional		$65.20	$93.15	$176.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	26	$76.80	$76.80	$76.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.13 / $183.84 / $289.33	Professional		$138.13	$183.84	$289.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.00 / $87.08 / $131.37	Professional	26	$64.00	$87.08	$131.37
United Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $162.40 / $239.65	Professional		$131.94	$162.40	$239.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.28 / $71.81 / $111.11	Professional	26	$58.28	$71.81	$111.11