Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.64 / $31.33 / $52.31	Facility	26	$30.64	$31.33	$52.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.56 / $108.71	Professional		$69.18	$77.56	$108.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $77.43 / $77.43	Professional		$77.43	$77.43	$77.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $77.06 / $106.82	Professional		$59.38	$77.06	$106.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $41.06 / $94.50	Professional		$31.33	$41.06	$94.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.17 / $35.17 / $35.17	Facility	26	$35.17	$35.17	$35.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $87.26 / $146.71	Professional		$60.34	$87.26	$146.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $32.34 / $55.40	Professional		$21.57	$32.34	$55.40
United Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $84.09 / $156.01	Professional		$55.10	$84.09	$156.01