Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $331.13	Professional	26	$91.20	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $218.78	Professional	26	$66.07	$112.20	$218.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $213.80 / $234.42	Facility	26	$87.10	$213.80	$234.42
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $100.00 / $151.36	Professional	26	$81.28	$100.00	$151.36
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $213.80	Professional	26	$66.07	$112.20	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $102.33 / $144.54	Professional	26	$87.10	$102.33	$144.54