Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $56.57 / $98.91	Facility	26	$55.06	$56.57	$98.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.43 / $332.49 / $617.71	Professional		$311.43	$332.49	$617.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $56.13 / $178.00	Professional	26	$50.96	$56.13	$178.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.65 / $336.65 / $336.65	Professional		$336.65	$336.65	$336.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $53.49 / $70.98 / $85.75	Professional	26	$53.49	$70.98	$85.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $302.42 / $426.04	Professional		$187.40	$302.42	$426.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.78 / $57.72 / $84.35	Professional	26	$46.78	$57.72	$84.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $74.56 / $419.97	Professional		$56.83	$74.56	$419.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.67 / $344.40 / $651.34	Professional		$218.67	$344.40	$651.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.23 / $74.48 / $115.30	Professional	26	$53.23	$74.48	$115.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.55 / $88.35	Professional		$32.34	$34.55	$88.35
United Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $335.27 / $640.25	Professional		$213.45	$335.27	$640.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.80 / $68.75 / $118.42	Professional	26	$47.80	$68.75	$118.42