Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.58 / $90.58 / $90.58	Facility	26	$90.58	$90.58	$90.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.58 / $100.00 / $265.00	Professional	26	$90.58	$100.00	$265.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $131.21 / $131.21 / $131.21	Professional	26	$131.21	$131.21	$131.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $140.61 / $140.61 / $140.61	Professional	26	$140.61	$140.61	$140.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.56 / $107.31 / $204.18	Professional	26	$66.56	$107.31	$204.18
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $76.79 / $76.79 / $90.58	Facility	26	$76.79	$76.79	$90.58
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $76.79 / $90.58 / $137.32	Professional	26	$76.79	$90.58	$137.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.55 / $100.43 / $154.96	Professional	26	$82.55	$100.43	$154.96