Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.22 / $62.22 / $62.22	Facility	26	$62.22	$62.22	$62.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $209.05 / $331.53	Professional		$123.44	$209.05	$331.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $226.41 / $517.51	Professional		$76.19	$226.41	$517.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.63 / $237.72 / $536.78	Professional		$122.63	$237.72	$536.78
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $43.60 / $43.60 / $63.33	Facility	26	$43.60	$43.60	$63.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $167.44 / $301.74	Professional		$150.52	$167.44	$301.74
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 $145.71 / $211.20 / $451.12	Professional		$145.71	$211.20	$451.12