Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.73 / $48.38 / $58.05	Facility	26	$43.73	$48.38	$58.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $103.76 / $177.69	Professional		$74.50	$103.76	$177.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $146.62 / $146.62	Professional		$65.47	$146.62	$146.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.07 / $117.88 / $130.97	Professional		$89.07	$117.88	$130.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $53.65 / $106.38	Professional		$32.61	$53.65	$106.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $121.91 / $164.02	Professional		$71.73	$121.91	$164.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $168.61 / $168.61 / $168.61	Professional		$168.61	$168.61	$168.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $103.44 / $157.99	Professional		$82.83	$103.44	$157.99