Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.92 / $79.70 / $95.65	Facility	26	$75.92	$79.70	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $123.93 / $182.29	Professional		$108.01	$123.93	$182.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.27 / $69.20 / $107.87	Professional	26	$60.27	$69.20	$107.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $139.26 / $139.26	Professional		$124.23	$139.26	$139.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.77 / $75.83 / $91.65	Professional	26	$58.77	$75.83	$91.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $120.14 / $197.21	Professional		$71.64	$120.14	$197.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.79 / $102.79 / $102.79	Professional	26	$102.79	$102.79	$102.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $78.81 / $139.10	Professional		$46.83	$78.81	$139.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $180.33 / $476.22	Professional		$97.52	$180.33	$476.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.27 / $98.69 / $276.24	Professional	26	$56.27	$98.69	$276.24
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $64.33 / $75.92 / $95.65	Facility	26	$64.33	$75.92	$95.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $127.84 / $182.21	Professional		$111.73	$127.84	$182.21
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $61.81 / $75.92 / $113.35	Professional	26	$61.81	$75.92	$113.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $68.34 / $116.85	Professional		$30.45	$68.34	$116.85
United Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $134.46 / $194.85	Professional		$115.16	$134.46	$194.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.44 / $76.22 / $110.75	Professional	26	$65.44	$76.22	$110.75