Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.35 / $51.35 / $59.17	Facility	26	$51.35	$51.35	$59.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $90.56 / $150.22	Professional		$83.63	$90.56	$150.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $85.47 / $85.47	Professional		$85.47	$85.47	$85.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $86.53 / $119.65	Professional		$72.39	$86.53	$119.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $45.27 / $108.00	Professional		$34.34	$45.27	$108.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $123.75 / $196.50	Professional		$82.98	$123.75	$196.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $32.46 / $77.58	Professional		$31.60	$32.46	$77.58
United Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $117.43 / $184.34	Professional		$87.38	$117.43	$184.34