Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.98 / $62.98 / $79.34	Facility	26	$62.98	$62.98	$79.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.94 / $252.81 / $412.97	Professional		$224.94	$252.81	$412.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.75 / $60.34 / $84.94	Professional	26	$46.75	$60.34	$84.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.48 / $311.48 / $311.48	Professional		$311.48	$311.48	$311.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $484.04 / $580.85	Professional		$79.68	$484.04	$580.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.22 / $85.22 / $85.22	Professional	26	$85.22	$85.22	$85.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.41 / $60.41 / $60.41	Facility	26	$60.41	$60.41	$60.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $302.55 / $692.81	Professional		$175.26	$302.55	$692.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.51 / $69.13 / $124.24	Professional	26	$37.51	$69.13	$124.24
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $53.19 / $53.19 / $79.34	Facility	26	$53.19	$53.19	$79.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $252.81 / $412.97	Professional		$215.14	$252.81	$412.97
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $53.19 / $56.77 / $85.62	Professional	26	$53.19	$56.77	$85.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $256.52 / $388.90	Professional		$61.81	$256.52	$388.90
United Facility/Professional Professional Modifier Low / Median / High Price $222.90 / $256.93 / $376.63	Professional		$222.90	$256.93	$376.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.53 / $61.24 / $90.11	Professional	26	$51.53	$61.24	$90.11