Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $540.97 / $540.97 / $540.97	Facility	26	$540.97	$540.97	$540.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $804.12 / $1,098.39	Professional		$740.75	$804.12	$1,098.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $425.25 / $521.64 / $722.37	Professional	26	$425.25	$521.64	$722.37
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $458.74 / $458.74 / $458.74	Professional	26	$458.74	$458.74	$458.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.52 / $1,327.47 / $1,886.41	Professional		$667.52	$1,327.47	$1,886.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $742.98 / $742.98 / $742.98	Professional	26	$742.98	$742.98	$742.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.90 / $1,049.15 / $2,021.96	Professional		$769.90	$1,049.15	$2,021.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $401.58 / $697.80 / $1,131.04	Professional	26	$401.58	$697.80	$1,131.04
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $445.19 / $445.19 / $540.97	Facility	26	$445.19	$445.19	$540.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $660.92 / $804.12 / $1,260.06	Professional		$660.92	$804.12	$1,260.06
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $445.19 / $511.96 / $740.03	Professional	26	$445.19	$511.96	$740.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.81 / $519.21 / $1,048.84	Professional		$389.81	$519.21	$1,048.84
United Facility/Professional Professional Modifier Low / Median / High Price $746.90 / $960.18 / $1,339.74	Professional		$746.90	$960.18	$1,339.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $451.58 / $574.48 / $784.98	Professional	26	$451.58	$574.48	$784.98