Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.97 / $63.97 / $63.97	Facility	26	$63.97	$63.97	$63.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $188.50 / $225.55	Professional		$105.47	$188.50	$225.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $98.09 / $98.09	Professional		$98.09	$98.09	$98.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $166.53 / $210.35	Professional		$78.68	$166.53	$210.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $208.02 / $511.74	Professional		$104.51	$208.02	$511.74
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $44.01 / $44.01 / $63.97	Facility	26	$44.01	$44.01	$63.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.06 / $144.77 / $225.55	Professional		$128.06	$144.77	$225.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $159.80 / $387.51	Professional		$122.42	$159.80	$387.51