Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.83 / $61.83 / $65.56	Facility	26	$61.83	$61.83	$65.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $111.73 / $201.00	Professional		$104.29	$111.73	$201.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.11 / $62.74 / $78.20	Professional	26	$59.11	$62.74	$78.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $126.08 / $151.29	Professional		$100.86	$126.08	$151.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $83.68 / $114.92	Professional	26	$55.94	$83.68	$114.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $116.42 / $184.90	Professional		$90.82	$116.42	$184.90
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.64 / $66.34 / $105.38	Professional	26	$52.64	$66.34	$105.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $72.18 / $126.08	Professional		$42.76	$72.18	$126.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $142.66 / $239.55	Professional		$112.85	$142.66	$239.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.69 / $82.10 / $139.24	Professional	26	$66.69	$82.10	$139.24
United Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $127.58 / $205.34	Professional		$99.57	$127.58	$205.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.51 / $72.18 / $119.07	Professional	26	$56.51	$72.18	$119.07