Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.01 / $9.01 / $9.01	Facility	26	$9.01	$9.01	$9.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $47.49 / $71.95	Professional		$42.95	$47.49	$71.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $81.91 / $115.36	Professional		$47.37	$81.91	$115.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $39.46 / $53.79	Professional		$9.15	$39.46	$53.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $82.28 / $155.22	Professional		$48.29	$82.28	$155.22
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $57.44 / $101.33	Professional		$43.80	$57.44	$101.33