Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.35 / $109.35 / $114.82	Facility	26	$109.35	$109.35	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $323.08 / $618.48	Professional		$256.10	$323.08	$618.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $109.36 / $175.85	Professional	26	$78.03	$109.36	$175.85
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $80.61 / $167.68	Professional	26	$65.72	$80.61	$167.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $482.00 / $1,002.56	Professional		$125.99	$482.00	$1,002.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.75 / $134.75 / $134.75	Professional	26	$134.75	$134.75	$134.75
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $462.61 / $809.07	Professional		$290.00	$462.61	$809.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.11 / $100.62 / $209.72	Professional	26	$64.11	$100.62	$209.72
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $69.87 / $109.35 / $114.82	Facility	26	$69.87	$109.35	$114.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $323.08 / $511.60	Professional		$289.76	$323.08	$511.60
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $107.64 / $168.12	Professional	26	$69.87	$107.64	$168.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $169.31 / $297.67	Professional		$93.51	$169.31	$297.67
United Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $382.60 / $589.80	Professional		$306.52	$382.60	$589.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.37 / $93.67 / $148.44	Professional	26	$79.37	$93.67	$148.44