Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.74 / $89.74 / $94.22	Facility	26	$89.74	$89.74	$94.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $188.48 / $290.43	Professional		$152.63	$188.48	$290.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.95 / $75.20 / $118.85	Professional	26	$66.95	$75.20	$118.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $130.82 / $130.82	Professional		$130.82	$130.82	$130.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $96.76 / $96.76 / $96.76	Professional	26	$96.76	$96.76	$96.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $199.67 / $290.24	Professional		$113.04	$199.67	$290.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.90 / $120.90 / $120.90	Professional	26	$120.90	$120.90	$120.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $205.03 / $460.79	Professional		$136.18	$205.03	$460.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.26 / $92.13 / $217.61	Professional	26	$61.26	$92.13	$217.61
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $60.88 / $89.74 / $94.22	Facility	26	$60.88	$89.74	$94.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $183.11 / $288.37	Professional		$139.15	$183.11	$288.37
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $60.88 / $75.20 / $123.97	Professional	26	$60.88	$75.20	$123.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $117.09 / $227.39	Professional		$83.50	$117.09	$227.39
United Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $186.34 / $254.74	Professional		$154.90	$186.34	$254.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.54 / $85.87 / $115.46	Professional	26	$68.54	$85.87	$115.46