Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.21 / $35.54 / $35.54	Facility	26	$28.21	$35.54	$35.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $145.40 / $161.25	Professional		$118.15	$145.40	$161.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $25.36 / $29.62	Professional	26	$22.30	$25.36	$29.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $137.07 / $137.35	Professional		$137.07	$137.07	$137.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $21.08 / $23.38 / $31.56	Professional	26	$21.08	$23.38	$31.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $204.85 / $291.10	Professional		$35.22	$204.85	$291.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.22 / $36.22 / $36.22	Professional	26	$36.22	$36.22	$36.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $182.27 / $366.53	Professional		$139.49	$182.27	$366.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.55 / $29.84 / $60.29	Professional	26	$22.55	$29.84	$60.29
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $35.54	Facility	26	$26.30	$26.30	$35.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $137.59 / $196.75	Professional		$129.02	$137.59	$196.75
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $22.82 / $26.30 / $34.19	Professional	26	$22.82	$26.30	$34.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $111.53 / $167.33	Professional		$36.43	$111.53	$167.33
United Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $173.48 / $240.83	Professional		$149.00	$173.48	$240.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.34 / $29.06 / $42.00	Professional	26	$24.34	$29.06	$42.00