Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.53 / $42.55 / $51.06	Facility	26	$40.53	$42.55	$51.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.25 / $132.47 / $309.56	Professional		$108.25	$132.47	$309.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $88.34 / $88.34	Professional		$84.85	$88.34	$88.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $137.44 / $189.44	Professional		$50.80	$137.44	$189.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $92.04 / $139.38	Professional		$36.59	$92.04	$139.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $141.31 / $310.41	Professional		$96.36	$141.31	$310.41
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $28.38 / $40.53 / $51.06	Facility	26	$28.38	$40.53	$51.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $132.47 / $227.71	Professional		$102.15	$132.47	$227.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $80.86 / $158.16	Professional		$35.97	$80.86	$158.16
United Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $124.30 / $181.89	Professional		$102.71	$124.30	$181.89