Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.82 / $110.82 / $110.83	Facility	26	$110.82	$110.82	$110.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $225.80 / $352.14	Professional		$141.81	$225.80	$352.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $91.05 / $140.59	Professional	26	$77.76	$91.05	$140.59
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $80.25 / $118.03 / $118.03	Professional	26	$80.25	$118.03	$118.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $186.22 / $279.67	Professional		$95.12	$186.22	$279.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.53 / $147.53 / $147.53	Professional	26	$147.53	$147.53	$147.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.81 / $106.81 / $106.81	Facility	26	$106.81	$106.81	$106.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $273.06 / $601.78	Professional		$137.97	$273.06	$601.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.69 / $114.37 / $231.88	Professional	26	$69.69	$114.37	$231.88
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $69.75 / $110.82 / $110.83	Facility	26	$69.75	$110.82	$110.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $182.39 / $288.29	Professional		$167.16	$182.39	$288.29
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $69.75 / $97.65 / $140.59	Professional	26	$69.75	$97.65	$140.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $102.24 / $154.58	Professional		$59.64	$102.24	$154.58
United Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $208.31 / $494.32	Professional		$161.09	$208.31	$494.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.79 / $99.97 / $149.96	Professional	26	$84.79	$99.97	$149.96