Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.70 / $117.70 / $117.70	Facility	26	$117.70	$117.70	$117.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $238.11 / $293.37	Professional		$165.44	$238.11	$293.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $322.02 / $431.50	Professional		$149.38	$322.02	$431.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.99 / $270.77 / $550.36	Professional		$182.99	$270.77	$550.36
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $76.13 / $76.13 / $117.70	Facility	26	$76.13	$76.13	$117.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $234.67 / $345.00	Professional		$162.08	$234.67	$345.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $171.11 / $304.25	Professional		$93.67	$171.11	$304.25
United Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $240.00 / $308.95	Professional		$190.49	$240.00	$308.95