Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $275.42	Professional		$104.71	$144.54	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $398.11	Professional		$199.53	$213.80	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $338.84	Professional		$60.26	$120.23	$338.84
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $38.02 / $42.66	Facility	26	$15.49	$38.02	$42.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $123.03 / $213.80	Professional		$53.70	$123.03	$213.80
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $281.84	Professional		$54.95	$112.20	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $363.08	Professional		$72.44	$128.82	$363.08