Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.22 / $54.45 / $54.45	Facility	26	$43.22	$54.45	$54.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $88.19 / $120.99	Professional		$75.25	$88.19	$120.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.39 / $38.45 / $57.17	Professional	26	$34.39	$38.45	$57.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $90.76 / $102.60	Professional		$81.23	$90.76	$102.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $84.04 / $139.72	Professional		$56.45	$84.04	$139.72
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $129.94 / $129.94 / $129.94	Professional	50	$129.94	$129.94	$129.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $118.86 / $353.93	Professional		$72.41	$118.86	$353.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $51.21 / $155.38	Professional	26	$31.82	$51.21	$155.38
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $36.15 / $36.15 / $54.45	Facility	26	$36.15	$36.15	$54.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $88.35 / $124.08	Professional		$75.69	$88.35	$124.08
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.51 / $39.86 / $60.96	Professional	26	$34.51	$39.86	$60.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $46.17 / $120.26	Professional		$28.58	$46.17	$120.26
United Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $94.93 / $127.73	Professional		$78.63	$94.93	$127.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.03 / $42.88 / $54.51	Professional	26	$37.03	$42.88	$54.51