Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $28.18 / $28.18	Facility	26	$26.92	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $263.03	Professional		$91.20	$128.82	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.91 / $50.12	Professional	26	$18.20	$22.91	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Professional	26	$19.95	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $213.80	Professional		$162.18	$199.53	$213.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $36.31 / $48.98	Professional	26	$36.31	$36.31	$48.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $363.08	Professional		$97.72	$158.49	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $32.36 / $67.61	Professional	26	$19.05	$32.36	$67.61
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $47.86 / $56.23	Facility	26	$20.42	$47.86	$56.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $204.17	Professional		$89.13	$125.89	$204.17
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $40.74	Professional	26	$19.05	$25.12	$40.74
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $281.84	Professional		$89.13	$123.03	$281.84
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $26.92 / $60.26	Professional	26	$16.98	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $194.98	Professional		$100.00	$123.03	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.70 / $40.74	Professional	26	$21.88	$25.70	$40.74