Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $91.20 / $91.20	Facility	26	$89.13	$91.20	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $331.13	Professional	26	$89.13	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $128.82 / $131.83	Professional	26	$128.82	$128.82	$131.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	26	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $208.93	Professional	26	$66.07	$107.15	$208.93
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $204.17 / $223.87	Facility	26	$81.28	$204.17	$223.87
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $100.00 / $204.17	Professional	26	$77.62	$100.00	$204.17
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $204.17	Professional	26	$66.07	$107.15	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $97.72 / $144.54	Professional	26	$83.18	$97.72	$144.54