Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $91.20 / $109.65	Facility	26	$87.10	$91.20	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $309.03	Professional	26	$85.11	$125.89	$309.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $87.10 / $114.82	Professional	26	$85.11	$87.10	$114.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $102.33 / $204.17	Professional	26	$64.57	$102.33	$204.17
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $181.97 / $213.80	Facility	26	$77.62	$181.97	$213.80
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $263.03	Professional	26	$72.44	$97.72	$263.03
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $102.33 / $194.98	Professional	26	$64.57	$102.33	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $95.50 / $144.54	Professional	26	$83.18	$95.50	$144.54