Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $69.18	Facility	26	$52.48	$52.48	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $186.21	Professional		$83.18	$95.50	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $173.78	Professional		$74.13	$112.20	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $190.55	Professional		$89.13	$114.82	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $169.82	Professional		$81.28	$104.71	$169.82