Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.93 / $113.93 / $137.97	Facility	26	$113.93	$113.93	$137.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $150.28 / $364.49	Professional	26	$100.00	$150.28	$364.49
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $107.35 / $111.66 / $161.03	Professional	26	$107.35	$111.66	$161.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $177.36 / $177.36 / $177.36	Professional	26	$177.36	$177.36	$177.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.18 / $136.46 / $260.44	Professional	26	$84.18	$136.46	$260.44
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $97.86 / $113.93 / $137.97	Facility	26	$97.86	$113.93	$137.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $97.86 / $120.75 / $364.49	Professional	26	$97.86	$120.75	$364.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.92 / $124.31 / $185.31	Professional	26	$104.92	$124.31	$185.31