Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $309.03	Professional		$100.00	$138.04	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $190.55	Professional		$100.00	$177.83	$190.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $537.03	Professional		$107.15	$199.53	$537.03
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $117.49 / $131.83	Facility	26	$47.86	$117.49	$131.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $251.19	Professional		$107.15	$154.88	$251.19
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $60.26 / $87.10	Facility	26	$12.88	$60.26	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $630.96	Professional		$97.72	$169.82	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $489.78	Professional		$123.03	$158.49	$489.78