Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $49.32 / $68.81	Facility		$2.92	$49.32	$68.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.43 / $46.43 / $64.26	Facility	26	$46.43	$46.43	$64.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $49.32 / $77.23	Professional		$15.66	$49.32	$77.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.66 / $46.88 / $97.58	Professional	26	$15.66	$46.88	$97.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $38.00 / $44.12 / $57.36	Professional	26	$38.00	$44.12	$57.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $4.98 / $72.70	Facility		$4.98	$4.98	$72.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $69.06 / $80.87	Professional		$4.98	$69.06	$80.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.32 / $72.43 / $72.43	Professional	26	$54.32	$72.43	$72.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $49.45 / $79.03	Facility		$3.59	$49.45	$79.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $45.78 / $97.89	Professional		$2.99	$45.78	$97.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.45 / $54.75	Professional		$19.95	$43.45	$54.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.47 / $40.47 / $51.75	Professional	26	$40.47	$40.47	$51.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $2.92 / $49.32	Facility		$2.89	$2.92	$49.32
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.17 / $18.17 / $46.88	Facility	26	$18.17	$18.17	$46.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $24.40 / $61.36	Professional		$15.15	$24.40	$61.36
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.17 / $42.09 / $75.00	Professional	26	$18.17	$42.09	$75.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $61.87 / $85.10	Professional		$32.41	$61.87	$85.10
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $22.11 / $56.27	Professional		$19.14	$22.11	$56.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $22.27 / $39.14	Professional	26	$19.13	$22.27	$39.14