Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.40 / $79.40 / $100.04	Facility	26	$79.40	$79.40	$100.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $164.25 / $220.33	Professional		$141.78	$164.25	$220.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.67 / $70.95 / $163.02	Professional	26	$61.67	$70.95	$163.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.93 / $258.68 / $280.14	Professional		$144.93	$258.68	$280.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.62 / $118.18 / $127.40	Professional	26	$58.62	$118.18	$127.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.58 / $185.65 / $278.47	Professional		$103.58	$185.65	$278.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $106.52 / $106.52 / $106.52	Professional	26	$106.52	$106.52	$106.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $198.72 / $556.84	Professional		$147.44	$198.72	$556.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $88.94 / $233.01	Professional	26	$65.17	$88.94	$233.01
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $66.68 / $79.40 / $100.04	Facility	26	$66.68	$79.40	$100.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $170.03 / $232.57	Professional		$148.24	$170.03	$232.57
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $64.48 / $78.01 / $163.02	Professional	26	$64.48	$78.01	$163.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $101.29 / $158.55	Professional		$61.81	$101.29	$158.55
United Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $178.64 / $257.64	Professional		$145.78	$178.64	$257.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.64 / $79.00 / $113.74	Professional	26	$64.64	$79.00	$113.74