Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.88 / $35.88 / $35.88	Facility	26	$35.88	$35.88	$35.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $143.82 / $173.83	Professional		$106.78	$143.82	$173.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $29.43 / $37.61	Professional	26	$25.03	$29.43	$37.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Professional		$105.00	$105.00	$105.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $172.03 / $369.96	Professional		$45.32	$172.03	$369.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.47 / $48.47 / $48.47	Professional	26	$48.47	$48.47	$48.47
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $292.45 / $344.06 / $344.06	Professional	50	$292.45	$344.06	$344.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $149.53 / $303.92	Professional		$98.06	$149.53	$303.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.07 / $34.40 / $67.91	Professional	26	$22.07	$34.40	$67.91
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.81 / $176.84 / $187.81	Professional	50	$134.81	$176.84	$187.81
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $35.88	Facility	26	$23.51	$23.51	$35.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $127.43 / $191.97	Professional		$108.92	$127.43	$191.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $29.43 / $46.15	Professional	26	$23.51	$29.43	$46.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $78.16 / $152.74	Professional		$34.95	$78.16	$152.74
United Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $131.65 / $194.17	Professional		$109.66	$131.65	$194.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $31.06 / $46.30	Professional	26	$25.28	$31.06	$46.30