Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $17.78 / $18.62	Facility	26	$16.98	$17.78	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $190.55	Professional		$63.10	$93.33	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $42.66	Professional	26	$10.96	$14.13	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $162.18	Professional		$131.83	$154.88	$162.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $23.99 / $23.99	Professional	26	$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $281.84	Professional		$69.18	$114.82	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.38 / $43.65	Professional	26	$12.59	$21.38	$43.65
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $30.90 / $36.31	Facility	26	$13.18	$30.90	$36.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $125.89	Professional		$69.18	$93.33	$125.89
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $15.14 / $23.44	Professional	26	$12.30	$15.14	$23.44
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $3.72 / $17.38 / $24.55	Facility	26	$3.72	$17.38	$24.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $218.78	Professional		$63.10	$93.33	$218.78
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.38 / $39.81	Professional	26	$10.72	$17.38	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $134.90	Professional		$70.79	$85.11	$134.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.60 / $26.30	Professional	26	$13.80	$16.60	$26.30