Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.28 / $28.28 / $28.28	Facility	26	$28.28	$28.28	$28.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $154.66 / $196.08	Professional		$104.34	$154.66	$196.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $219.11 / $458.14	Professional		$37.65	$219.11	$458.14
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $109.76 / $285.02	Professional		$60.87	$109.76	$285.02
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $14.36 / $14.36 / $28.28	Facility	26	$14.36	$14.36	$28.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $123.15 / $189.21	Professional		$53.11	$123.15	$189.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $108.90 / $159.69	Professional		$34.95	$108.90	$159.69
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $125.49 / $422.69	Professional		$68.54	$125.49	$422.69