Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.96 / $27.97 / $27.97	Facility	26	$27.96	$27.97	$27.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $130.47 / $154.06	Professional		$99.24	$130.47	$154.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.91 / $22.81 / $27.97	Professional	26	$17.91	$22.81	$27.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $18.39 / $18.39	Professional	26	$18.39	$18.39	$18.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $196.61 / $221.18	Professional		$33.86	$196.61	$221.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $36.22 / $36.22	Professional	26	$36.22	$36.22	$36.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $146.44 / $282.79	Professional		$94.19	$146.44	$282.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $29.01 / $56.81	Professional	26	$18.23	$29.01	$56.81
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.13 / $27.96 / $27.97	Facility	26	$19.13	$27.96	$27.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $126.79 / $195.57	Professional		$89.99	$126.79	$195.57
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $23.91 / $38.13	Professional	26	$19.13	$23.91	$38.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $97.84 / $133.91	Professional		$78.93	$97.84	$133.91
United Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $120.47 / $171.09	Professional		$99.36	$120.47	$171.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.68 / $26.44 / $38.00	Professional	26	$21.68	$26.44	$38.00