Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $77.62 / $77.62	Facility	26	$58.88	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $257.04	Professional		$75.86	$104.71	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $154.88	Professional	26	$39.81	$58.88	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $54.95 / $58.88	Professional	26	$48.98	$54.95	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $181.97	Professional		$52.48	$100.00	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $162.18	Professional		$75.86	$107.15	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $102.33	Professional	26	$44.67	$63.10	$102.33
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $125.89 / $147.91	Facility	26	$53.70	$125.89	$147.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $245.47	Professional		$79.43	$114.82	$245.47
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $138.04	Professional	26	$43.65	$61.66	$138.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $154.88	Professional		$85.11	$107.15	$154.88
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $102.33	Professional	26	$47.86	$63.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $147.91	Professional		$87.10	$109.65	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $58.88 / $81.28	Professional	26	$47.86	$58.88	$81.28