Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $14.45 / $14.45	Facility	26	$8.91	$14.45	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $87.10	Professional		$42.66	$47.86	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $95.50	Professional		$47.86	$56.23	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.96 / $14.45	Professional		$7.41	$10.96	$14.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $398.11	Professional		$47.86	$91.20	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.11 / $52.48	Professional		$13.80	$33.11	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $112.20	Professional		$45.71	$61.66	$112.20