Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.31 / $77.65 / $86.60	Facility	26	$65.31	$77.65	$86.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $135.37 / $206.46	Professional		$95.32	$135.37	$206.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $182.17 / $207.50	Professional		$160.66	$182.17	$207.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $155.93 / $173.26	Professional		$117.82	$155.93	$173.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.90 / $67.90 / $135.52	Professional		$48.90	$67.90	$135.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $155.47 / $215.93	Professional		$91.43	$155.47	$215.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $213.68 / $238.63	Professional		$184.77	$213.68	$238.63
United Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $135.78 / $203.66	Professional		$107.97	$135.78	$203.66