Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.30 / $68.56 / $82.27	Facility	26	$65.30	$68.56	$82.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $355.59 / $508.32	Professional		$309.11	$355.59	$508.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.95 / $58.14 / $138.63	Professional	26	$50.95	$58.14	$138.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.83 / $310.83 / $310.83	Professional		$310.83	$310.83	$310.83
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $48.53 / $58.15 / $88.37	Professional	26	$48.53	$58.15	$88.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $492.95 / $622.67	Professional		$82.66	$492.95	$622.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.41 / $88.41 / $88.41	Professional	26	$88.41	$88.41	$88.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.21 / $530.63 / $1,523.62	Professional		$246.21	$530.63	$1,523.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.42 / $85.16 / $235.95	Professional	26	$48.42	$85.16	$235.95
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $53.02 / $53.02 / $82.27	Facility	26	$53.02	$53.02	$82.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $311.20 / $380.26 / $551.20	Professional		$311.20	$380.26	$551.20
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $51.11 / $62.15 / $122.84	Professional	26	$51.11	$62.15	$122.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $280.01 / $427.79	Professional		$61.87	$280.01	$427.79
United Facility/Professional Professional Modifier Low / Median / High Price $229.99 / $352.03 / $503.91	Professional		$229.99	$352.03	$503.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $64.19 / $94.69	Professional	26	$52.12	$64.19	$94.69