Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.95 / $48.98	Facility		$2.88	$2.95	$48.98
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $46.77 / $46.77	Facility	26	$45.71	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $46.77 / $53.70	Professional		$12.88	$46.77	$53.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $46.77 / $128.82	Professional	26	$19.95	$46.77	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $43.65 / $58.88	Professional	26	$42.66	$43.65	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $72.44 / $72.44	Facility		$67.61	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $67.61 / $72.44	Professional		$5.01	$67.61	$72.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $45.71 / $109.65	Facility		$3.02	$45.71	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $48.98 / $100.00	Professional		$3.16	$48.98	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $43.65 / $54.95	Professional		$10.72	$43.65	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $64.57	Professional	26	$40.74	$40.74	$64.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $38.02 / $47.86	Facility		$4.57	$38.02	$47.86
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $47.86 / $53.70	Facility	26	$19.50	$47.86	$53.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $40.74 / $61.66	Professional		$15.14	$40.74	$61.66
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $43.65 / $97.72	Professional	26	$18.20	$43.65	$97.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $43.65 / $43.65	Professional		$10.72	$43.65	$43.65
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $51.29	Professional	26	$40.74	$40.74	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $22.39	Facility		$3.16	$3.16	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $33.88	Professional		$19.05	$21.88	$33.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.88 / $33.88	Professional	26	$19.05	$21.88	$33.88