Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.31 / $235.31 / $235.31	Facility	26	$235.31	$235.31	$235.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $580.76 / $834.19	Professional		$540.82	$580.76	$834.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $174.37 / $199.84 / $302.30	Professional	26	$174.37	$199.84	$302.30
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $258.48 / $258.48 / $258.48	Professional	26	$258.48	$258.48	$258.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $869.05 / $1,017.53	Professional		$301.27	$869.05	$1,017.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $322.22 / $322.22 / $322.22	Professional	26	$322.22	$322.22	$322.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.78 / $872.47 / $1,314.51	Professional		$545.78	$872.47	$1,314.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $170.76 / $300.31 / $445.92	Professional	26	$170.76	$300.31	$445.92
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $149.25 / $149.25 / $235.31	Facility	26	$149.25	$149.25	$235.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $551.55 / $797.42	Professional		$449.56	$551.55	$797.42
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $149.25 / $181.68 / $263.56	Professional	26	$149.25	$181.68	$263.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.48 / $388.91 / $655.12	Professional		$186.48	$388.91	$655.12
United Facility/Professional Professional Modifier Low / Median / High Price $543.17 / $685.32 / $942.32	Professional		$543.17	$685.32	$942.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $180.74 / $234.64 / $322.63	Professional	26	$180.74	$234.64	$322.63