Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $79.43 / $79.43	Facility	26	$61.66	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $602.56	Professional		$199.53	$263.03	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $54.95 / $95.50	Professional	26	$41.69	$54.95	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $489.78	Professional		$309.03	$309.03	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $478.63	Professional		$407.38	$457.09	$478.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	26	$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $691.83	Professional		$204.17	$323.59	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $154.88	Professional	26	$45.71	$72.44	$154.88
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $131.83 / $154.88	Facility	26	$57.54	$131.83	$154.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $478.63	Professional		$213.80	$281.84	$478.63
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $58.88 / $91.20	Professional	26	$47.86	$58.88	$91.20
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $691.83	Professional		$190.55	$295.12	$691.83
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $181.97	Professional	26	$43.65	$64.57	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $363.08	Professional		$208.93	$257.04	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $61.66 / $89.13	Professional	26	$50.12	$61.66	$89.13