Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $91.20 / $93.33	Facility	26	$89.13	$91.20	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $363.08	Professional		$144.54	$181.97	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $75.86 / $194.98	Professional	26	$60.26	$75.86	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $281.84	Professional		$154.88	$263.03	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $478.63	Professional		$134.90	$199.53	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $93.33 / $218.78	Professional	26	$61.66	$93.33	$218.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $100.00 / $177.83	Facility	26	$64.57	$100.00	$177.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $288.40	Professional		$138.04	$181.97	$288.40
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $125.89	Professional	26	$60.26	$77.62	$125.89
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $371.54	Professional		$128.82	$177.83	$371.54
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $162.18	Professional	26	$52.48	$83.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $251.19	Professional		$154.88	$186.21	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $85.11 / $117.49	Professional	26	$67.61	$85.11	$117.49