Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $446.68	Professional		$165.96	$229.09	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $61.66 / $131.83	Professional	26	$42.66	$61.66	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $346.74	Professional		$234.42	$323.59	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $125.89	Professional	26	$93.33	$93.33	$125.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $588.84	Professional		$165.96	$281.84	$588.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $75.86 / $173.78	Professional	26	$42.66	$75.86	$173.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $70.79 / $112.20	Facility	26	$40.74	$70.79	$112.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $416.87	Professional		$173.78	$229.09	$416.87
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $123.03	Professional	26	$39.81	$61.66	$123.03
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $489.78	Professional		$151.36	$213.80	$489.78
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.66 / $158.49	Professional	26	$38.90	$61.66	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $338.84	Professional		$169.82	$223.87	$338.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $60.26 / $93.33	Professional	26	$46.77	$60.26	$93.33