Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.28 / $44.28 / $44.28	Facility	26	$44.28	$44.28	$44.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $241.13 / $452.12	Professional		$149.37	$241.13	$452.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $40.77 / $58.00	Professional	26	$34.96	$40.77	$58.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $74.95 / $74.95 / $74.95	Professional	26	$74.95	$74.95	$74.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $375.62 / $474.47	Professional		$55.77	$375.62	$474.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.65 / $59.65 / $59.65	Professional	26	$59.65	$59.65	$59.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.36 / $320.63 / $653.25	Professional		$244.36	$320.63	$653.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $52.55 / $80.91	Professional	26	$27.78	$52.55	$80.91
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $31.23 / $31.23 / $44.28	Facility	26	$31.23	$31.23	$44.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $236.31 / $434.46	Professional		$126.85	$236.31	$434.46
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $40.59 / $62.63	Professional	26	$31.23	$40.59	$62.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $233.47 / $307.89	Professional		$34.19	$233.47	$307.89
United Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $240.94 / $367.54	Professional		$154.69	$240.94	$367.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.63 / $42.77 / $56.13	Professional	26	$36.63	$42.77	$56.13