Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.09 / $123.31 / $136.72	Facility	26	$103.09	$123.31	$136.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $310.97 / $627.91	Professional		$196.11	$310.97	$627.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $190.12 / $228.14	Professional		$190.12	$190.12	$228.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.80 / $350.47 / $389.41	Professional		$264.80	$350.47	$389.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $174.25 / $316.27	Professional		$76.98	$174.25	$316.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $287.76 / $481.40	Professional		$192.39	$287.76	$481.40
United Facility/Professional Professional Modifier Low / Median / High Price $202.16 / $278.25 / $486.10	Professional		$202.16	$278.25	$486.10