Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.70 / $26.92 / $26.92	Facility	26	$25.70	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $338.84	Professional		$147.91	$218.78	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $380.19	Professional		$131.83	$229.09	$380.19
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $47.86 / $56.23	Facility	26	$20.42	$47.86	$56.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $302.00	Professional		$138.04	$208.93	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $389.05	Professional		$125.89	$234.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $275.42	Professional		$158.49	$194.98	$275.42