Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $120.23 / $120.23	Facility	26	$67.61	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $323.59	Professional		$141.25	$165.96	$323.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $75.86 / $295.12	Professional	26	$61.66	$75.86	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $288.40	Professional		$120.23	$131.83	$288.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $87.10 / $151.36	Professional	26	$75.86	$87.10	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $194.98	Professional		$125.89	$147.91	$194.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $72.44 / $93.33	Professional	26	$61.66	$72.44	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $100.00	Professional		$56.23	$74.13	$100.00
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 $141.25 / $223.87 / $724.44	Professional		$141.25	$223.87	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $100.00 / $331.13	Professional	26	$64.57	$100.00	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $281.84	Professional		$131.83	$165.96	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $128.82	Professional	26	$60.26	$75.86	$128.82