Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.68 / $114.68 / $138.72	Facility	26	$114.68	$114.68	$138.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $263.11 / $371.20	Professional	26	$100.00	$263.11	$371.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $111.86 / $145.41 / $145.41	Professional	26	$111.86	$145.41	$145.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $178.95 / $178.95 / $178.95	Professional	26	$178.95	$178.95	$178.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.43 / $137.58 / $262.58	Professional	26	$84.43	$137.58	$262.58
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $98.65 / $114.68 / $120.42	Facility	26	$98.65	$114.68	$120.42
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $98.65 / $127.10 / $360.33	Professional	26	$98.65	$127.10	$360.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $101.49 / $123.64 / $186.95	Professional	26	$101.49	$123.64	$186.95