Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.66 / $52.66 / $52.66	Facility	26	$52.66	$52.66	$52.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $131.63 / $131.63	Professional		$78.34	$131.63	$131.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $137.15 / $199.00	Professional		$61.03	$137.15	$199.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $170.83 / $292.29	Professional		$90.00	$170.83	$292.29
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $35.67 / $35.67 / $52.66	Facility	26	$35.67	$35.67	$52.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $125.91 / $183.82	Professional		$109.68	$125.91	$183.82
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 $106.66 / $144.69 / $240.03	Professional		$106.66	$144.69	$240.03