Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $40.74 / $50.12	Facility	26	$38.90	$40.74	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $512.86	Professional		$77.62	$131.83	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $173.78	Professional		$85.11	$89.13	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $263.03	Professional		$81.28	$141.25	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $109.65	Professional		$36.31	$64.57	$109.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $245.47	Professional		$70.79	$112.20	$245.47
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $45.71 / $81.28	Facility	26	$38.90	$45.71	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $245.47	Professional		$77.62	$107.15	$245.47
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $204.17	Professional		$69.18	$95.50	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $138.04	Professional		$83.18	$102.33	$138.04