Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $45.71 / $45.71	Facility	26	$37.15	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $141.25	Professional		$75.86	$87.10	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $131.83	Professional		$89.13	$102.33	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $63.10 / $128.82	Professional		$27.54	$63.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $177.83	Professional		$75.86	$117.49	$177.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $162.18	Professional		$81.28	$104.71	$162.18