Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.43 / $106.43 / $134.10	Facility	26	$106.43	$106.43	$134.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $203.60 / $597.30	Professional		$166.87	$203.60	$597.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.26 / $106.43 / $258.02	Professional	26	$81.26	$106.43	$258.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $186.89 / $239.54	Professional		$141.08	$186.89	$239.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $69.72 / $102.66 / $117.65	Professional	26	$69.72	$102.66	$117.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $231.48 / $317.89	Professional		$131.97	$231.48	$317.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.87 / $142.19 / $142.19	Professional	26	$120.87	$142.19	$142.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $109.84 / $211.68	Professional		$83.86	$109.84	$211.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.92 / $102.92 / $102.92	Facility	26	$102.92	$102.92	$102.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $241.78 / $468.00	Professional		$145.28	$241.78	$468.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.88 / $113.46 / $257.31	Professional	26	$72.88	$113.46	$257.31
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $74.02 / $106.43 / $134.10	Facility	26	$74.02	$106.43	$134.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.49 / $203.53 / $367.25	Professional		$151.49	$203.53	$367.25
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $74.02 / $106.43 / $216.63	Professional	26	$74.02	$106.43	$216.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $120.28 / $196.98	Professional		$84.38	$120.28	$196.98
United Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $206.86 / $279.29	Professional		$171.51	$206.86	$279.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.84 / $101.59 / $140.18	Professional	26	$81.84	$101.59	$140.18