Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.77 / $101.77 / $101.77	Facility	26	$101.77	$101.77	$101.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $157.66 / $178.90	Professional		$139.87	$157.66	$178.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $143.97 / $143.97	Professional		$143.97	$143.97	$143.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $208.63 / $263.52	Professional		$97.36	$208.63	$263.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $226.83 / $633.04	Professional		$130.44	$226.83	$633.04
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $86.52 / $86.52 / $101.77	Facility	26	$86.52	$86.52	$101.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $157.61 / $202.42	Professional		$140.72	$157.61	$202.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $105.49 / $193.27	Professional		$60.28	$105.49	$193.27
United Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $173.11 / $244.02	Professional		$148.82	$173.11	$244.02