Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.25 / $74.25 / $74.25	Facility	26	$74.25	$74.25	$74.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.08 / $287.89 / $401.36	Professional		$218.08	$287.89	$401.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $62.45 / $86.00	Professional	26	$52.46	$62.45	$86.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $147.56 / $147.56	Professional		$147.56	$147.56	$147.56
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $81.05 / $81.05	Professional	26	$43.93	$81.05	$81.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $447.59 / $829.75	Professional		$105.81	$447.59	$829.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.54 / $90.54 / $90.54	Professional	26	$90.54	$90.54	$90.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $407.47 / $688.45	Professional		$250.91	$407.47	$688.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.10 / $70.31 / $142.66	Professional	26	$44.10	$70.31	$142.66
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $47.71 / $74.25 / $74.25	Facility	26	$47.71	$74.25	$74.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $287.89 / $451.36	Professional		$248.02	$287.89	$451.36
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $47.71 / $62.02 / $105.11	Professional	26	$47.71	$62.02	$105.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $184.48 / $277.93	Professional		$35.58	$184.48	$277.93
United Facility/Professional Professional Modifier Low / Median / High Price $259.82 / $338.66 / $519.67	Professional		$259.82	$338.66	$519.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.60 / $63.81 / $100.85	Professional	26	$53.60	$63.81	$100.85