Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.04 / $74.31 / $114.81	Facility	26	$64.04	$74.31	$114.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $122.90 / $406.00	Professional		$104.47	$122.90	$406.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $65.56 / $113.68	Professional	26	$60.27	$65.56	$113.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $128.25 / $138.11	Professional		$93.80	$128.25	$138.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $55.94 / $74.70 / $83.68	Professional	26	$55.94	$74.70	$83.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $106.85 / $149.91	Professional		$89.31	$106.85	$149.91
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.73 / $61.93 / $86.73	Professional	26	$49.73	$61.93	$86.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $71.72 / $138.11	Professional		$42.77	$71.72	$138.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.17 / $74.17 / $74.17	Facility	26	$74.17	$74.17	$74.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $152.84 / $242.65	Professional		$102.99	$152.84	$242.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.60 / $88.91 / $140.63	Professional	26	$61.60	$88.91	$140.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.69 / $95.78	Professional		$32.34	$39.69	$95.78
United Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $139.10 / $233.86	Professional		$107.84	$139.10	$233.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.28 / $81.56 / $134.96	Professional	26	$60.28	$81.56	$134.96