Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.34 / $47.34 / $59.64	Facility	26	$47.34	$47.34	$59.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $71.93 / $108.29	Professional		$52.50	$71.93	$108.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.96 / $39.65 / $59.64	Professional	26	$32.96	$39.65	$59.64
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.96 / $42.96 / $42.96	Professional	26	$42.96	$42.96	$42.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $69.23 / $124.30	Professional		$48.73	$69.23	$124.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.53 / $47.53 / $55.92	Professional	26	$47.53	$47.53	$55.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $90.83 / $299.22	Professional		$65.30	$90.83	$299.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $54.03 / $150.33	Professional	26	$36.31	$54.03	$150.33
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $29.50 / $47.34 / $48.19	Facility	26	$29.50	$47.34	$48.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $69.47 / $117.95	Professional		$57.23	$69.47	$117.95
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $29.50 / $39.15 / $62.48	Professional	26	$29.50	$39.15	$62.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.08 / $79.93	Professional		$28.18	$45.08	$79.93
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $74.23 / $95.73	Professional		$59.18	$74.23	$95.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.34 / $45.82 / $63.00	Professional	26	$36.34	$45.82	$63.00