Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.99 / $46.99 / $46.99	Facility	26	$46.99	$46.99	$46.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $126.70 / $156.86	Professional		$76.23	$126.70	$156.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.02 / $46.99 / $55.55	Professional	26	$32.02	$46.99	$55.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $127.88 / $183.89	Professional		$58.76	$127.88	$183.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.85 / $62.85 / $62.85	Professional	26	$62.85	$62.85	$62.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $155.66 / $381.22	Professional		$86.02	$155.66	$381.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $49.94 / $99.80	Professional	26	$32.11	$49.94	$99.80
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $33.86 / $33.86 / $46.99	Facility	26	$33.86	$33.86	$46.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $119.96 / $194.96	Professional		$93.89	$119.96	$194.96
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $33.86 / $42.35 / $60.49	Professional	26	$33.86	$42.35	$60.49
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 $102.12 / $130.79 / $295.13	Professional		$102.12	$130.79	$295.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $45.29 / $71.18	Professional	26	$37.11	$45.29	$71.18