Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.85 / $59.85 / $78.30	Facility	26	$59.85	$59.85	$78.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $96.43 / $248.87	Professional		$79.81	$96.43	$248.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $59.85 / $135.63	Professional	26	$40.29	$59.85	$135.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.76 / $56.76 / $56.76	Professional	26	$56.76	$56.76	$56.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $90.15 / $191.44	Professional		$23.76	$90.15	$191.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.94 / $86.94 / $102.28	Professional	26	$86.94	$86.94	$102.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $112.76 / $162.16	Professional		$76.53	$112.76	$162.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.26 / $62.19 / $88.74	Professional	26	$40.26	$62.19	$88.74
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $50.56 / $50.56 / $78.30	Facility	26	$50.56	$50.56	$78.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $100.49 / $215.45	Professional		$88.20	$100.49	$215.45
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.47 / $61.00 / $155.96	Professional	26	$45.47	$61.00	$155.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $46.76 / $121.29	Professional		$28.70	$46.76	$121.29
United Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $112.28 / $143.49	Professional		$94.21	$112.28	$143.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.80 / $59.30 / $79.23	Professional	26	$52.80	$59.30	$79.23