Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $17.78 / $77.62	Facility		$16.98	$17.78	$77.62
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $28.18 / $72.44	Facility	26	$16.98	$28.18	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $42.66 / $50.12	Professional		$15.14	$42.66	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $39.81 / $58.88	Professional	26	$16.98	$39.81	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $74.13 / $75.86	Professional	26	$23.99	$74.13	$75.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $16.60 / $25.12	Professional	26	$16.60	$16.60	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $43.65 / $58.88	Facility		$2.82	$43.65	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $41.69 / $44.67	Professional		$2.75	$41.69	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $4.57 / $26.30	Facility		$2.14	$4.57	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $40.74 / $40.74	Professional	26	$9.12	$40.74	$40.74
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $85.11 / $87.10	Professional	26	$27.54	$85.11	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $40.74	Professional		$17.38	$21.38	$40.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $21.88 / $42.66	Professional	26	$17.38	$21.88	$42.66