Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.74 / $87.74 / $110.55	Facility	26	$87.74	$87.74	$110.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.74 / $125.00 / $288.14	Professional	26	$87.74	$125.00	$288.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $84.83 / $110.28 / $114.52	Professional	26	$84.83	$110.28	$114.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $137.94 / $137.94 / $137.94	Professional	26	$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.27 / $123.57 / $193.16	Professional	26	$65.27	$123.57	$193.16
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $72.92 / $72.92 / $87.74	Facility	26	$72.92	$72.92	$87.74
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $72.92 / $87.74 / $265.00	Professional	26	$72.92	$87.74	$265.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.43 / $94.55 / $135.86	Professional	26	$85.43	$94.55	$135.86