Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $41.69 / $41.69	Facility	26	$40.74	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $416.87	Professional		$47.86	$79.43	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $39.81 / $83.18	Professional	26	$28.84	$39.81	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $169.82	Professional		$85.11	$169.82	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $190.55	Professional		$48.98	$93.33	$190.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $51.29 / $107.15	Professional	26	$30.20	$51.29	$107.15
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $100.00 / $117.49	Facility	26	$40.74	$100.00	$117.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $229.09	Professional		$51.29	$79.43	$229.09
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $41.69 / $64.57	Professional	26	$30.90	$41.69	$64.57
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	50	$144.54	$144.54	$144.54
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $177.83	Professional		$48.98	$89.13	$177.83
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $95.50	Professional	26	$28.84	$48.98	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $138.04	Professional		$60.26	$97.72	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $48.98 / $66.07	Professional	26	$34.67	$48.98	$66.07