Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $112.20 / $134.90	Facility	26	$107.15	$112.20	$134.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $102.33 / $147.91	Facility	26	$21.88	$102.33	$147.91
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $173.78 / $204.17	Facility	26	$74.13	$173.78	$204.17
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $102.33 / $147.91	Facility	26	$21.88	$102.33	$147.91