Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.96 / $25.96 / $25.96	Facility	26	$25.96	$25.96	$25.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $53.08 / $100.78	Professional		$29.74	$53.08	$100.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $25.96 / $109.06	Professional	26	$14.51	$25.96	$109.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $74.59 / $197.50	Professional		$33.36	$74.59	$197.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.10 / $25.10 / $25.10	Facility	26	$25.10	$25.10	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $75.78 / $152.12	Professional		$43.92	$75.78	$152.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $31.26 / $63.94	Professional	26	$18.70	$31.26	$63.94
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $23.21 / $23.21 / $25.96	Facility	26	$23.21	$23.21	$25.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $59.14 / $99.85	Professional		$45.34	$59.14	$99.85
Health Alliance Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $21.83 / $25.96 / $109.06	Professional	26	$21.83	$25.96	$109.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.15 / $47.38	Professional		$26.31	$33.15	$47.38
United Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $71.81 / $108.81	Professional		$46.60	$71.81	$108.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $28.77 / $46.08	Professional	26	$22.47	$28.77	$46.08