Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	26	$41.28	$41.28	$41.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $92.69 / $526.72	Professional		$49.13	$92.69	$526.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.14 / $41.28 / $53.74	Professional	26	$30.14	$41.28	$53.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $90.05 / $193.57	Professional		$33.94	$90.05	$193.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.92 / $55.92 / $55.92	Professional	26	$55.92	$55.92	$55.92
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.02 / $180.02 / $180.02	Professional	50	$180.02	$180.02	$180.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.95 / $39.95 / $39.95	Facility	26	$39.95	$39.95	$39.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $98.75 / $190.55	Professional		$54.16	$98.75	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.15 / $52.41 / $108.07	Professional	26	$30.15	$52.41	$108.07
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.33 / $100.97 / $143.33	Professional	50	$88.33	$100.97	$143.33
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $40.14 / $40.14 / $41.28	Facility	26	$40.14	$40.14	$41.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $78.98 / $284.94	Professional		$58.98	$78.98	$284.94
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $34.11 / $41.28 / $65.00	Professional	26	$34.11	$41.28	$65.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $44.27 / $78.81	Professional		$28.23	$44.27	$78.81
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $99.41 / $145.35	Professional		$60.00	$99.41	$145.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $50.29 / $78.29	Professional	26	$35.11	$50.29	$78.29