Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $117.49	Facility	26	$93.33	$93.33	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $954.99	Professional		$213.80	$398.11	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $309.03	Professional		$245.47	$257.04	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $407.38	Professional		$263.03	$380.19	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $354.81	Professional		$87.10	$194.98	$354.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $128.82	Facility	26	$19.05	$89.13	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $707.95	Professional		$190.55	$295.12	$707.95
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $97.72 / $186.21	Facility	26	$93.33	$97.72	$186.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $660.69	Professional		$194.98	$309.03	$660.69
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $89.13 / $128.82	Facility	26	$19.05	$89.13	$128.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $478.63	Professional		$177.83	$257.04	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $380.19	Professional		$181.97	$275.42	$380.19