Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $35.48 / $42.66	Facility	26	$33.11	$35.48	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $186.21	Professional		$60.26	$100.00	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $223.87	Professional		$112.20	$154.88	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $89.13 / $125.89	Professional		$30.20	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $204.17	Professional		$60.26	$97.72	$204.17
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $42.66 / $69.18	Facility	26	$25.70	$42.66	$69.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $190.55	Professional		$53.70	$104.71	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $181.97	Professional		$70.79	$100.00	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $120.23	Professional		$63.10	$93.33	$120.23