Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $3.98 / $41.69	Facility		$2.34	$3.98	$41.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $42.66	Facility	26	$38.90	$38.90	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $45.71 / $57.54	Professional		$16.98	$45.71	$57.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $43.65 / $91.20	Professional	26	$18.20	$43.65	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	26	$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $17.78 / $18.62	Professional	26	$17.78	$17.78	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $57.54 / $72.44	Facility		$3.98	$57.54	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $50.12 / $63.10	Professional		$3.39	$50.12	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $75.86 / $75.86	Facility		$2.09	$75.86	$75.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $229.09 / $229.09	Professional		$43.65	$229.09	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $56.23 / $213.80	Professional	26	$21.88	$56.23	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $38.02	Professional		$18.20	$21.88	$38.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $21.88 / $38.02	Professional	26	$18.20	$21.88	$38.02