Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.70 / $63.70 / $63.70	Facility	26	$63.70	$63.70	$63.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $144.96 / $241.20	Professional		$96.38	$144.96	$241.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $188.74 / $452.98	Professional		$85.48	$188.74	$452.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.43 / $217.27 / $523.21	Professional		$108.43	$217.27	$523.21
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $45.54 / $45.54 / $63.70	Facility	26	$45.54	$45.54	$63.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.83 / $272.37	Professional		$131.16	$146.83	$272.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $78.84 / $152.75	Professional		$34.95	$78.84	$152.75
United Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $168.47 / $398.40	Professional		$132.26	$168.47	$398.40