Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.66 / $102.66 / $131.21	Facility	26	$102.66	$102.66	$131.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $217.35 / $367.79	Professional		$172.82	$217.35	$367.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $214.33 / $214.33	Professional		$214.33	$214.33	$214.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $212.05 / $308.32	Professional		$159.03	$212.05	$308.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $133.53 / $245.48	Professional		$93.23	$133.53	$245.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.15 / $118.15 / $118.15	Facility	26	$118.15	$118.15	$118.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.15 / $265.20 / $428.91	Professional		$180.15	$265.20	$428.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.09 / $157.49	Professional		$32.34	$65.09	$157.49
United Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $240.05 / $485.54	Professional		$158.57	$240.05	$485.54