Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $313.56 / $313.57 / $395.09	Facility	26	$313.56	$313.57	$395.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.60 / $1,069.41 / $1,524.45	Professional		$839.60	$1,069.41	$1,524.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $233.22 / $291.00 / $427.92	Professional	26	$233.22	$291.00	$427.92
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $244.37 / $244.37 / $317.68	Professional	26	$244.37	$244.37	$317.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.60 / $1,286.78 / $1,737.15	Professional		$346.60	$1,286.78	$1,737.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $370.69 / $370.69 / $370.69	Professional	26	$370.69	$370.69	$370.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.51 / $590.63 / $962.06	Professional		$217.51	$590.63	$962.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.59 / $1,277.19 / $1,896.58	Professional		$802.59	$1,277.19	$1,896.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.23 / $362.22 / $479.37	Professional	26	$213.23	$362.22	$479.37
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $275.43 / $313.56 / $395.09	Facility	26	$275.43	$313.56	$395.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $902.33 / $1,126.03 / $1,524.45	Professional		$902.33	$1,126.03	$1,524.45
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $237.85 / $313.56 / $427.92	Professional	26	$237.85	$313.56	$427.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.25 / $644.57 / $1,041.11	Professional		$252.25	$644.57	$1,041.11
United Facility/Professional Professional Modifier Low / Median / High Price $958.10 / $1,147.97 / $1,525.03	Professional		$958.10	$1,147.97	$1,525.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $266.44 / $347.03 / $461.24	Professional	26	$266.44	$347.03	$461.24