Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.84 / $98.84 / $98.84	Facility	26	$98.84	$98.84	$98.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $336.97 / $603.00	Professional		$270.02	$336.97	$603.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $397.89 / $994.72	Professional		$113.54	$397.89	$994.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.23 / $548.27 / $955.32	Professional		$310.23	$548.27	$955.32
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $63.67 / $98.84 / $98.84	Facility	26	$63.67	$98.84	$98.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $287.58 / $413.19 / $598.50	Professional		$287.58	$413.19	$598.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $196.97 / $304.54	Professional		$93.51	$196.97	$304.54
United Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $458.76 / $663.28	Professional		$302.26	$458.76	$663.28