Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $17.92 / $77.59	Facility		$17.92	$17.92	$77.59
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.92 / $18.13 / $72.95	Facility	26	$17.92	$18.13	$72.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.92 / $56.26	Professional		$17.89	$17.92	$56.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $17.92 / $52.93	Professional	26	$17.89	$17.92	$52.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $23.80 / $75.06 / $75.06	Professional	26	$23.80	$75.06	$75.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.69 / $22.25 / $25.03	Professional	26	$16.69	$22.25	$25.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $42.79 / $54.73	Facility		$2.73	$42.79	$54.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $41.91 / $44.63	Professional		$2.73	$41.91	$44.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $4.55 / $26.48	Facility		$2.47	$4.55	$26.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Professional		$43.45	$43.45	$43.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $40.47 / $40.47	Professional	26	$9.02	$40.47	$40.47
Qualchoice Facility/Professional Professional Modifier 26 Low / Median / High Price $27.37 / $86.32 / $86.32	Professional	26	$27.37	$86.32	$86.32
United Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $21.07 / $35.42	Professional		$17.18	$21.07	$35.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.64 / $21.89 / $42.33	Professional	26	$16.64	$21.89	$42.33