Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.64 / $59.64 / $59.64	Facility	26	$59.64	$59.64	$59.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $133.86 / $290.47	Professional		$110.20	$133.86	$290.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $115.30 / $207.54	Professional		$98.01	$115.30	$207.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $161.16 / $221.61	Professional		$73.70	$161.16	$221.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $79.83 / $140.86	Professional		$53.12	$79.83	$140.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.04 / $57.04 / $57.04	Facility	26	$57.04	$57.04	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $140.99 / $309.83	Professional		$96.14	$140.99	$309.83
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $41.08 / $59.64 / $60.71	Facility	26	$41.08	$59.64	$60.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.44 / $133.86 / $206.86	Professional		$98.44	$133.86	$206.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $79.45 / $123.28	Professional		$36.56	$79.45	$123.28
United Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $128.13 / $180.27	Professional		$103.85	$128.13	$180.27