Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.31 / $77.31 / $97.43	Facility	26	$77.31	$77.31	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.16 / $252.05 / $383.66	Professional		$193.16	$252.05	$383.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.99 / $74.30 / $86.00	Professional	26	$51.99	$74.30	$86.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $148.52 / $148.52	Professional		$148.52	$148.52	$148.52
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $45.08 / $55.96	Professional	26	$45.08	$45.08	$55.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $282.89 / $357.35	Professional		$88.64	$282.89	$357.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.80 / $94.80 / $94.80	Professional	26	$94.80	$94.80	$94.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.11 / $397.92 / $654.97	Professional		$246.11	$397.92	$654.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.40 / $74.40 / $148.37	Professional	26	$46.40	$74.40	$148.37
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $49.30 / $77.31 / $77.33	Facility	26	$49.30	$77.31	$77.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $274.98 / $402.80	Professional		$215.42	$274.98	$402.80
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $49.30 / $66.70 / $97.43	Professional	26	$49.30	$66.70	$97.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $152.02 / $233.43	Professional		$35.58	$152.02	$233.43
United Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $319.29 / $467.61	Professional		$215.37	$319.29	$467.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.55 / $66.65 / $104.89	Professional	26	$56.55	$66.65	$104.89