Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.85 / $26.86 / $26.86	Facility	26	$26.85	$26.86	$26.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $192.86 / $259.27	Professional		$152.30	$192.86	$259.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $315.07 / $447.73	Professional		$32.86	$315.07	$447.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $234.33 / $378.05	Professional		$124.51	$234.33	$378.05
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $19.13 / $19.13 / $26.86	Facility	26	$19.13	$19.13	$26.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $197.69 / $289.64	Professional		$137.88	$197.69	$289.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.59 / $201.84 / $291.15	Professional		$162.59	$201.84	$291.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.26 / $207.27 / $272.42	Professional		$165.26	$207.27	$272.42