Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.29 / $112.29 / $141.47	Facility	26	$112.29	$112.29	$141.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $208.67 / $332.03	Professional		$150.26	$208.67	$332.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $90.38 / $143.16	Professional	26	$49.34	$90.38	$143.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $75.80 / $127.20 / $177.58	Professional	26	$75.80	$127.20	$177.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $203.98 / $305.95	Professional		$115.53	$203.98	$305.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.13 / $149.13 / $149.13	Professional	26	$149.13	$149.13	$149.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $258.89 / $584.12	Professional		$134.94	$258.89	$584.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $84.02 / $205.24	Professional	26	$52.65	$84.02	$205.24
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $45.01 / $112.29 / $117.90	Facility	26	$45.01	$112.29	$117.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $198.74 / $310.26	Professional		$163.51	$198.74	$310.26
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $45.01 / $92.51 / $144.26	Professional	26	$45.01	$92.51	$144.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $102.86 / $185.27	Professional		$59.64	$102.86	$185.27
United Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $214.08 / $471.61	Professional		$164.24	$214.08	$471.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.41 / $85.37 / $127.99	Professional	26	$54.41	$85.37	$127.99