Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $27.53 / $27.53	Facility	26	$27.53	$27.53	$27.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $93.54 / $130.56	Professional		$69.73	$93.54	$130.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $114.96 / $145.21	Professional		$33.86	$114.96	$145.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $105.68 / $205.47	Professional		$62.28	$105.68	$205.47
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $18.86 / $18.86 / $27.53	Facility	26	$18.86	$18.86	$27.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $93.54 / $131.91	Professional		$82.58	$93.54	$131.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $65.61 / $89.34	Professional		$52.34	$65.61	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $95.29 / $152.11	Professional		$74.95	$95.29	$152.11