Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $141.25	Facility	26	$112.20	$112.20	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $407.38	Professional		$125.89	$199.53	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $95.50 / $295.12	Professional	26	$48.98	$95.50	$295.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	26	$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $275.42	Professional		$204.17	$257.04	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	26	$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $154.88	Facility	26	$22.91	$107.15	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $588.84	Professional		$134.90	$245.47	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $100.00 / $245.47	Professional	26	$54.95	$100.00	$245.47
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $117.49 / $131.83	Facility	26	$112.20	$117.49	$131.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $416.87	Professional		$154.88	$208.93	$416.87
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $91.20 / $186.21	Professional	26	$46.77	$91.20	$186.21
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $107.15 / $154.88	Facility	26	$22.91	$107.15	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $602.56	Professional		$125.89	$223.87	$602.56
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $91.20 / $245.47	Professional	26	$48.98	$91.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $501.19	Professional		$158.49	$204.17	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $128.82	Professional	26	$54.95	$85.11	$128.82