Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $438.93 / $438.94 / $553.05	Facility	26	$438.93	$438.94	$553.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.21 / $1,325.79 / $1,875.02	Professional		$1,118.21	$1,325.79	$1,875.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $325.89 / $407.60 / $595.63	Professional	26	$325.89	$407.60	$595.63
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $341.76 / $444.29 / $461.38	Professional	26	$341.76	$444.29	$461.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.54 / $1,111.49 / $1,775.26	Professional		$484.54	$1,111.49	$1,775.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $518.22 / $518.22 / $518.22	Professional	26	$518.22	$518.22	$518.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.03 / $1,618.95 / $2,343.42	Professional		$994.03	$1,618.95	$2,343.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $298.01 / $496.56 / $669.62	Professional	26	$298.01	$496.56	$669.62
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $378.02 / $438.93 / $553.05	Facility	26	$378.02	$438.93	$553.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,161.60 / $1,362.39 / $1,803.76	Professional		$1,161.60	$1,362.39	$1,803.76
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $326.82 / $438.50 / $588.75	Professional	26	$326.82	$438.50	$588.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.96 / $747.16 / $1,236.05	Professional		$283.96	$747.16	$1,236.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.57 / $1,518.80 / $2,033.01	Professional		$1,194.57	$1,518.80	$2,033.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $372.47 / $489.54 / $631.72	Professional	26	$372.47	$489.54	$631.72