Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $30.20 / $33.11	Facility	26	$19.05	$30.20	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $208.93	Professional		$58.88	$79.43	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $54.95	Professional	26	$18.20	$24.55	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $162.18	Professional		$61.66	$72.44	$162.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $24.55 / $46.77	Professional	26	$16.22	$24.55	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $81.28	Professional		$33.11	$51.29	$81.28
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $15.85 / $25.12	Professional	26	$13.49	$15.85	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $54.95 / $87.10	Professional		$19.50	$54.95	$87.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.68 / $21.38 / $30.90	Facility	26	$4.68	$21.38	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $107.15 / $346.74	Professional		$45.71	$107.15	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $89.13	Professional	26	$19.50	$32.36	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $32.36 / $33.11	Professional		$5.62	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $141.25	Professional		$35.48	$66.07	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $21.88 / $38.90	Professional	26	$16.60	$21.88	$38.90