Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.22 / $63.22 / $63.23	Facility	26	$63.22	$63.22	$63.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $186.16 / $287.77	Professional		$102.53	$186.16	$287.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $161.79 / $195.86	Professional		$79.18	$161.79	$195.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $200.13 / $512.26	Professional		$101.41	$200.13	$512.26
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $44.74 / $63.22 / $63.23	Facility	26	$44.74	$63.22	$63.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.87 / $142.33 / $233.08	Professional		$123.87	$142.33	$233.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $76.59 / $117.12	Professional		$34.95	$76.59	$117.12
United Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $167.96 / $388.20	Professional		$121.12	$167.96	$388.20