Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.94 / $60.94 / $63.98	Facility	26	$60.94	$60.94	$63.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $99.61 / $128.21	Professional		$85.04	$99.61	$128.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $112.13 / $112.13	Professional		$112.13	$112.13	$112.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $125.37 / $164.96	Professional		$54.78	$125.37	$164.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $143.19 / $381.27	Professional		$78.38	$143.19	$381.27
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $51.57 / $51.57 / $60.94	Facility	26	$51.57	$51.57	$60.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $99.61 / $132.91	Professional		$87.79	$99.61	$132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $67.99 / $116.85	Professional		$30.45	$67.99	$116.85
United Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $107.58 / $155.33	Professional		$92.24	$107.58	$155.33