Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.34 / $152.34 / $152.34	Facility	26	$152.34	$152.34	$152.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $365.99 / $377.45	Professional		$171.00	$365.99	$377.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $664.68 / $839.59	Professional		$176.28	$664.68	$839.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.27 / $631.88 / $1,280.47	Professional		$331.27	$631.88	$1,280.47
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $97.54 / $97.54 / $155.08	Facility	26	$97.54	$97.54	$155.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $312.08 / $493.90 / $672.26	Professional		$312.08	$493.90	$672.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $174.34 / $334.05	Professional		$123.72	$174.34	$334.05
United Facility/Professional Professional Modifier Low / Median / High Price $406.57 / $540.75 / $817.97	Professional		$406.57	$540.75	$817.97