Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $60.26 / $63.10	Facility	26	$60.26	$60.26	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $512.86	Professional		$100.00	$169.82	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $194.98	Professional		$87.10	$107.15	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $190.55	Professional		$107.15	$177.83	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $147.91	Professional		$54.95	$83.18	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $338.84	Professional		$95.50	$141.25	$338.84
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $61.66 / $120.23	Facility	26	$58.88	$61.66	$120.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $309.03	Professional		$100.00	$141.25	$309.03
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $56.23 / $81.28	Facility	26	$12.02	$56.23	$81.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $269.15	Professional		$93.33	$123.03	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $181.97	Professional		$104.71	$128.82	$181.97