Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.07 / $53.07 / $56.32	Facility	26	$53.07	$53.07	$56.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $327.49 / $386.75	Professional		$309.11	$327.49	$386.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.31 / $54.05 / $65.30	Professional	26	$50.31	$54.05	$65.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $297.98 / $310.83	Professional		$297.98	$297.98	$310.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $63.91 / $74.09 / $102.78	Professional	26	$63.91	$74.09	$102.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.58 / $299.04 / $389.24	Professional		$171.58	$299.04	$389.24
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.06 / $70.20 / $111.27	Professional	26	$49.06	$70.20	$111.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $276.98 / $390.44	Professional		$54.25	$276.98	$390.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.86 / $345.96 / $741.83	Professional		$204.86	$345.96	$741.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.77 / $69.14 / $118.81	Professional	26	$53.77	$69.14	$118.81
United Facility/Professional Professional Modifier Low / Median / High Price $233.37 / $335.27 / $568.32	Professional		$233.37	$335.27	$568.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $59.62 / $101.79	Professional	26	$48.02	$59.62	$101.79