Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $147.91 / $177.83	Facility	26	$141.25	$147.91	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $870.96	Professional		$288.40	$446.68	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $446.68	Professional		$338.84	$416.87	$446.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $478.63 / $891.25	Professional		$281.84	$478.63	$891.25
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $229.09 / $269.15	Facility	26	$97.72	$229.09	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $794.33	Professional		$302.00	$416.87	$794.33
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $776.25	Professional		$245.47	$416.87	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $616.60	Professional		$288.40	$371.54	$616.60