Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.57 / $58.57 / $58.57	Facility	26	$58.57	$58.57	$58.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $111.07 / $163.07	Professional		$90.20	$111.07	$163.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $97.84 / $97.84	Professional		$97.84	$97.84	$97.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $108.76 / $197.80	Professional		$74.77	$108.76	$197.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $181.42 / $479.10	Professional		$98.29	$181.42	$479.10
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $48.18 / $48.18 / $58.57	Facility	26	$48.18	$48.18	$58.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $113.70 / $166.37	Professional		$93.29	$113.70	$166.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $78.19 / $122.43	Professional		$35.83	$78.19	$122.43
United Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $122.70 / $189.82	Professional		$85.69	$122.70	$189.82