Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.59 / $17.59 / $18.46	Facility	26	$17.59	$17.59	$18.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $112.50 / $112.50	Professional		$64.83	$112.50	$112.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.14 / $17.59 / $17.59	Professional	26	$10.14	$17.59	$17.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $145.71 / $176.81	Professional		$22.41	$145.71	$176.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.97 / $23.97 / $23.97	Professional	26	$23.97	$23.97	$23.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.05 / $104.82 / $219.06	Professional		$69.05	$104.82	$219.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $18.10 / $34.74	Professional	26	$11.34	$18.10	$34.74
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $12.37 / $12.37 / $17.59	Facility	26	$12.37	$12.37	$17.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $96.26 / $136.19	Professional		$68.67	$96.26	$136.19
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $12.37 / $16.20 / $24.23	Professional	26	$12.37	$16.20	$24.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $97.84 / $133.91	Professional		$78.52	$97.84	$133.91
United Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $85.37 / $125.83	Professional		$66.81	$85.37	$125.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.72 / $16.32 / $23.28	Professional	26	$13.72	$16.32	$23.28