Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.50 / $48.50 / $48.50	Facility	26	$48.50	$48.50	$48.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $123.77 / $152.94	Professional		$79.95	$123.77	$152.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.08 / $48.50 / $61.84	Professional	26	$32.08	$48.50	$61.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $141.18 / $185.56	Professional		$69.23	$141.18	$185.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.58 / $66.58 / $66.58	Professional	26	$66.58	$66.58	$66.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $136.62 / $240.97	Professional		$80.98	$136.62	$240.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $50.38 / $100.22	Professional	26	$31.36	$50.38	$100.22
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $32.35 / $32.35 / $48.50	Facility	26	$32.35	$32.35	$48.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $115.90 / $184.02	Professional		$74.90	$115.90	$184.02
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $32.35 / $45.53 / $65.17	Professional	26	$32.35	$45.53	$65.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $106.17 / $150.22	Professional		$89.91	$106.17	$150.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $43.67 / $65.51	Professional	26	$37.11	$43.67	$65.51