Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.75 / $102.75 / $107.88	Facility	26	$102.75	$102.75	$107.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $113.40 / $291.50	Professional	26	$90.00	$113.40	$291.50
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.43 / $134.43 / $134.43	Professional	26	$134.43	$134.43	$134.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $159.25 / $159.25 / $159.25	Professional	26	$159.25	$159.25	$159.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $124.15 / $235.73	Professional	26	$75.86	$124.15	$235.73
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $88.46 / $88.46 / $102.75	Facility	26	$88.46	$88.46	$102.75
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $88.46 / $102.75 / $265.00	Professional	26	$88.46	$102.75	$265.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.15 / $116.34 / $165.87	Professional	26	$95.15	$116.34	$165.87