Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.58 / $141.58 / $178.39	Facility	26	$141.58	$141.58	$178.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $376.78 / $494.18	Professional		$289.05	$376.78	$494.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $345.92 / $461.23	Professional		$163.34	$345.92	$461.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.62 / $522.16 / $857.03	Professional		$287.62	$522.16	$857.03
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $91.69 / $91.69 / $178.39	Facility	26	$91.69	$91.69	$178.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $358.84 / $494.18	Professional		$304.80	$358.84	$494.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $169.31 / $297.67	Professional		$93.51	$169.31	$297.67
United Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $379.95 / $600.77	Professional		$286.45	$379.95	$600.77