Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.68 / $99.69 / $125.60	Facility	26	$99.68	$99.69	$125.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $209.25 / $383.25	Professional		$133.50	$209.25	$383.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.49 / $169.80 / $253.73	Professional		$157.49	$169.80	$253.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $225.88 / $352.94	Professional		$124.99	$225.88	$352.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $240.42 / $521.84	Professional		$161.21	$240.42	$521.84
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $69.25 / $99.69 / $125.60	Facility	26	$69.25	$99.69	$125.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $216.89 / $333.55	Professional		$148.75	$216.89	$333.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $117.13 / $227.39	Professional		$83.50	$117.13	$227.39
United Facility/Professional Professional Modifier Low / Median / High Price $170.86 / $211.01 / $315.86	Professional		$170.86	$211.01	$315.86