Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.73 / $77.73 / $77.73	Facility	26	$77.73	$77.73	$77.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $254.46 / $342.69	Professional		$171.00	$254.46	$342.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $77.73 / $77.73	Professional	26	$51.30	$77.73	$77.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.33 / $59.21 / $118.94	Professional	26	$46.33	$59.21	$118.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $235.97 / $361.54	Professional		$89.14	$235.97	$361.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.34 / $95.34 / $95.34	Professional	26	$95.34	$95.34	$95.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.08 / $400.55 / $652.02	Professional		$247.08	$400.55	$652.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.80 / $74.14 / $148.37	Professional	26	$45.80	$74.14	$148.37
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $49.56 / $49.56 / $77.73	Facility	26	$49.56	$49.56	$77.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $217.90 / $277.08 / $397.98	Professional		$217.90	$277.08	$397.98
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $49.56 / $64.87 / $100.65	Professional	26	$49.56	$64.87	$100.65
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 $217.98 / $313.69 / $468.44	Professional		$217.98	$313.69	$468.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.27 / $66.51 / $104.89	Professional	26	$56.27	$66.51	$104.89