Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.24 / $109.24 / $109.24	Facility	26	$109.24	$109.24	$109.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.60 / $350.58 / $546.25	Professional		$280.60	$350.58	$546.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.16 / $109.24 / $145.65	Professional	26	$85.16	$109.24	$145.65
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $64.91 / $64.91 / $64.91	Professional	26	$64.91	$64.91	$64.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $345.40 / $495.40	Professional		$124.99	$345.40	$495.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $133.68 / $133.68 / $133.68	Professional	26	$133.68	$133.68	$133.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.61 / $539.47 / $911.66	Professional		$292.61	$539.47	$911.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $106.63 / $208.68	Professional	26	$64.87	$106.63	$208.68
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $75.23 / $75.23 / $109.24	Facility	26	$75.23	$75.23	$109.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $298.68 / $384.27 / $603.00	Professional		$298.68	$384.27	$603.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $75.23 / $107.80 / $155.13	Professional	26	$75.23	$107.80	$155.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $196.97 / $304.54	Professional		$93.51	$196.97	$304.54
United Facility/Professional Professional Modifier Low / Median / High Price $279.43 / $383.15 / $676.80	Professional		$279.43	$383.15	$676.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.73 / $99.44 / $147.74	Professional	26	$82.73	$99.44	$147.74