Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $58.88 / $74.13	Facility	26	$57.54	$58.88	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $208.93	Professional		$89.13	$123.03	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $50.12 / $120.23	Professional	26	$31.62	$50.12	$120.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $47.86 / $85.11	Professional	26	$35.48	$47.86	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $169.82	Professional		$83.18	$158.49	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $75.86 / $104.71	Professional	26	$75.86	$75.86	$104.71
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $54.95 / $79.43	Facility	26	$11.75	$54.95	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $288.40	Professional		$85.11	$138.04	$288.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $56.23 / $128.82	Professional	26	$32.36	$56.23	$128.82
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $72.44 / $81.28	Facility	26	$29.51	$72.44	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $234.42	Professional		$97.72	$125.89	$234.42
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $50.12 / $97.72	Professional	26	$30.20	$50.12	$97.72
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $54.95 / $79.43	Facility	26	$11.75	$54.95	$79.43
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $281.84	Professional		$79.43	$114.82	$281.84
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $43.65 / $125.89	Professional	26	$28.18	$43.65	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $181.97	Professional		$93.33	$120.23	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $38.02 / $60.26	Professional	26	$31.62	$38.02	$60.26