Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.34 / $41.30 / $49.56	Facility	26	$39.34	$41.30	$49.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $101.28 / $268.35	Professional		$80.43	$101.28	$268.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $137.52 / $291.35	Professional		$51.27	$137.52	$291.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $62.88 / $106.38	Professional		$35.52	$62.88	$106.38
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $111.92 / $236.36	Professional		$74.44	$111.92	$236.36
Health Alliance Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $39.34 / $49.56	Facility	26	$27.85	$39.34	$49.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $101.28 / $176.97	Professional		$78.06	$101.28	$176.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $77.58 / $119.35	Professional		$35.83	$77.58	$119.35
United Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $101.96 / $133.41	Professional		$84.69	$101.96	$133.41