Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.40 / $4.40 / $4.40	Facility	26	$4.40	$4.40	$4.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $52.99 / $74.00	Professional		$40.46	$52.99	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $33.59 / $52.57	Professional		$33.59	$33.59	$52.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $73.40 / $83.41	Professional		$5.48	$73.40	$83.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $70.76 / $174.46	Professional		$46.97	$70.76	$174.46
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $3.85 / $3.85 / $4.40	Facility	26	$3.85	$3.85	$4.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $51.65 / $78.79	Professional		$43.70	$51.65	$78.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.09 / $47.38	Professional		$26.80	$33.09	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $56.55 / $86.31	Professional		$46.42	$56.55	$86.31