Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $537.03	Professional		$288.40	$354.81	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $66.07 / $158.49	Professional	26	$54.95	$66.07	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $104.71 / $107.15	Professional	26	$91.20	$104.71	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $489.78 / $524.81	Professional		$95.50	$489.78	$524.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $831.76	Professional		$302.00	$501.19	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $141.25	Professional	26	$45.71	$75.86	$141.25
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $134.90 / $158.49	Facility	26	$57.54	$134.90	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $562.34	Professional		$295.12	$363.08	$562.34
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $128.82	Professional	26	$53.70	$72.44	$128.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $831.76	Professional		$302.00	$389.05	$831.76
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $141.25	Professional	26	$45.71	$75.86	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $501.19	Professional		$295.12	$380.19	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $97.72	Professional	26	$64.57	$75.86	$97.72