Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.42 / $45.43 / $47.70	Facility	26	$45.42	$45.43	$47.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $118.74 / $210.75	Professional		$96.60	$118.74	$210.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $36.44 / $59.54	Professional	26	$20.17	$36.44	$59.54
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $29.53 / $37.75 / $54.39	Professional	26	$29.53	$37.75	$54.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $134.75 / $215.14	Professional		$53.93	$134.75	$215.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.61 / $60.72 / $60.72	Professional	26	$51.61	$60.72	$60.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $138.44 / $258.88	Professional		$84.71	$138.44	$258.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $34.78 / $88.16	Professional	26	$21.92	$34.78	$88.16
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.60 / $45.42 / $47.70	Facility	26	$18.60	$45.42	$47.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $124.40 / $212.90	Professional		$86.81	$124.40	$212.90
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $37.39 / $62.76	Professional	26	$18.60	$37.39	$62.76
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 $90.43 / $116.92 / $162.01	Professional		$90.43	$116.92	$162.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.27 / $29.13 / $49.42	Professional	26	$22.27	$29.13	$49.42