Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.98 / $80.98 / $102.04	Facility	26	$80.98	$80.98	$102.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $153.66 / $216.30	Professional		$117.99	$153.66	$216.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $168.46 / $220.45	Professional		$96.60	$168.46	$220.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $165.02 / $286.07	Professional		$108.93	$165.02	$286.07
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $41.63 / $80.98 / $85.03	Facility	26	$41.63	$80.98	$85.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $153.62 / $222.81	Professional		$124.66	$153.62	$222.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $76.74 / $117.12	Professional		$35.58	$76.74	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $149.78 / $216.25	Professional		$118.60	$149.78	$216.25