Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $46.77	Facility	26	$37.15	$37.15	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $134.90	Professional		$79.43	$93.33	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $33.88 / $75.86	Professional	26	$28.18	$33.88	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $134.90 / $141.25	Professional		$46.77	$134.90	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	26	$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $234.42	Professional		$85.11	$114.82	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $89.13	Professional	26	$30.90	$41.69	$89.13
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $37.15 / $95.50	Facility	26	$33.11	$37.15	$95.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $138.04	Professional		$81.28	$97.72	$138.04
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $34.67 / $52.48	Professional	26	$30.20	$34.67	$52.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $190.55	Professional		$79.43	$107.15	$190.55
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $69.18	Professional	26	$29.51	$38.90	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $151.36	Professional		$85.11	$104.71	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.02 / $54.95	Professional	26	$30.90	$38.02	$54.95