Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.51 / $22.52 / $22.52	Facility	26	$22.51	$22.52	$22.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $81.05 / $137.47	Professional		$65.09	$81.05	$137.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.44 / $22.52 / $48.86	Professional	26	$17.44	$22.52	$48.86
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $18.62 / $18.62	Professional	26	$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $87.84 / $126.99	Professional		$29.53	$87.84	$126.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.81 / $30.36 / $30.36	Professional	26	$25.81	$30.36	$30.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $74.97 / $138.75	Professional		$40.51	$74.97	$138.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.53 / $21.81 / $33.78	Professional	26	$14.53	$21.81	$33.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.22 / $19.22 / $22.52	Facility	26	$19.22	$19.22	$22.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $73.15 / $115.82	Professional		$64.64	$73.15	$115.82
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $22.06 / $38.75	Professional	26	$18.66	$22.06	$38.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $52.18 / $85.48	Professional		$28.82	$52.18	$85.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $77.26 / $114.56	Professional		$44.92	$77.26	$114.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.51 / $23.30 / $33.11	Professional	26	$18.51	$23.30	$33.11