Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $81.28 / $100.00	Facility	26	$79.43	$81.28	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $346.74	Professional		$141.25	$169.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $275.42	Professional	26	$63.10	$79.43	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $281.84	Professional		$138.04	$147.91	$281.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $100.00 / $131.83	Professional	26	$39.81	$100.00	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $245.47	Professional		$131.83	$234.42	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $131.83	Professional	26	$107.15	$107.15	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $416.87	Professional		$147.91	$199.53	$416.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $181.97	Professional	26	$64.57	$87.10	$181.97
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $81.28 / $194.98	Facility	26	$66.07	$81.28	$194.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $302.00	Professional		$144.54	$173.78	$302.00
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $79.43 / $181.97	Professional	26	$64.57	$79.43	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $331.13	Professional		$138.04	$186.21	$331.13
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $81.28 / $147.91	Professional	26	$63.10	$81.28	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $257.04	Professional		$144.54	$177.83	$257.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $77.62 / $114.82	Professional	26	$63.10	$77.62	$114.82