Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.92 / $86.04 / $118.73	Facility	26	$66.92	$86.04	$118.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $148.05 / $256.79	Professional		$136.27	$148.05	$256.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $66.92 / $113.16	Professional	26	$61.35	$66.92	$113.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $144.93 / $144.93	Professional		$144.93	$144.93	$144.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $67.52 / $78.09 / $112.43	Professional	26	$67.52	$78.09	$112.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $147.01 / $208.29	Professional		$124.95	$147.01	$208.29
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.00 / $73.23 / $94.48	Professional	26	$62.00	$73.23	$94.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $87.58 / $172.46	Professional		$67.77	$87.58	$172.46
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 $136.78 / $183.80 / $289.77	Professional		$136.78	$183.80	$289.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.34 / $87.36 / $133.34	Professional	26	$63.34	$87.36	$133.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.23 / $131.05	Professional		$32.34	$53.23	$131.05
United Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $170.52 / $302.82	Professional		$133.01	$170.52	$302.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $77.59 / $129.33	Professional	26	$60.69	$77.59	$129.33