Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.06 / $71.06 / $71.06	Facility	26	$71.06	$71.06	$71.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $140.97 / $171.00	Professional		$120.13	$140.97	$171.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $165.33 / $223.20	Professional		$81.67	$165.33	$223.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $182.08 / $247.32	Professional		$87.28	$182.08	$247.32
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $45.45 / $71.06 / $72.33	Facility	26	$45.45	$71.06	$72.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $130.12 / $184.34	Professional		$104.14	$130.12	$184.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $77.79 / $120.08	Professional		$36.43	$77.79	$120.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $134.01 / $192.27	Professional		$117.60	$134.01	$192.27