Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.78 / $70.11 / $84.14	Facility	26	$66.78	$70.11	$84.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $135.01 / $372.60	Professional		$108.89	$135.01	$372.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $110.03 / $110.03	Professional		$102.10	$110.03	$110.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $103.98 / $211.64	Professional		$78.53	$103.98	$211.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $69.61 / $135.11	Professional		$52.06	$69.61	$135.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	26	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $145.01 / $307.95	Professional		$98.74	$145.01	$307.95
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $46.04 / $66.78 / $84.14	Facility	26	$46.04	$66.78	$84.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $135.01 / $260.52	Professional		$100.49	$135.01	$260.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $77.58 / $119.35	Professional		$35.97	$77.58	$119.35
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $134.29 / $176.73	Professional		$110.00	$134.29	$176.73