Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $52.48 / $56.23	Facility	26	$51.29	$52.48	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $169.82	Professional		$83.18	$93.33	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $120.23	Professional		$74.13	$87.10	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $50.12	Professional		$28.18	$38.90	$50.12
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $416.87	Professional		$85.11	$151.36	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.11 / $57.54	Professional		$31.62	$33.11	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $186.21	Professional		$85.11	$109.65	$186.21